Active NPI
Erin Mowbray
- Occupational Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12922
- Practice address
- 503 Covil Ave Ste 100
Wilmington, NC 28403 - Phone
- (434) 227-0740
- NPI assigned
- Oct 20, 2015
- Last updated
- May 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12922 | NC | Primary |
Addresses
Primary practice location
503 Covil Ave Ste 100
Wilmington, NC 28403
Mailing address
130 Glendale Dr
Wilmington, NC 28401-8827
Phone (434) 227-0740
Other practice location 1
1011 Porters Neck Rd
Wilmington, NC 28411-9196
Phone (434) 227-0740
Other names 1
- Erin Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12922 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients |
Locations
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
571 S Sycamore St
Rose Hill, NC 28458
Phone (810) 289-2435
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Synchrony Rehabilitation
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
NC
-
dba Synchrony Rehab
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1245602028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GLENDALE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284018827",
"telephone_number": "434-227-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 COVIL AVE STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "434-227-0740"
}
],
"practiceLocations": [
{
"address_1": "1011 Porters Neck Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284119196",
"country_code": "US",
"telephone_number": "434-227-0740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOWBRAY",
"first_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "TAYLOR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.