Active NPI
Dena Loren Agapito, MS, OTR/L
- Occupational Therapist
- Raleigh, NC
National Provider Identifier
1265769996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7396
- Practice address
- 4201 Lake Boone TRL
Suite 4
Raleigh, NC 27607-7512 - Phone
- (919) 781-4434
- NPI assigned
- Nov 18, 2009
- Last updated
- Dec 5, 2011
- 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 | 7396 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL
Suite 4
Raleigh, NC 27607-7512
Mailing address
4201 Lake Boone TRL
Suite 4
Raleigh, NC 27607-7512
Phone (919) 781-4434
Other names 1
- Dena Loren Fulcomer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Associates | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1265769996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "SUITE 4",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-781-4434",
"fax_number": "919-781-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "SUITE 4",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-781-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAPITO",
"first_name": "DENA",
"middle_name": "LOREN",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENA",
"last_name": "FULCOMER",
"middle_name": "LOREN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
- Agape Family Care Homes, LLC. (agape @ forest drive)
- Agape Family Care Homes, LLC.
- Agape Family Care Homes, LLC. (agape family care home #1)
- Agape Healthcare Agency, LLC (Allied Community Support)
- Agape of Love
- Randy Zabala Agapito, OTR/L
- Monica Devi Agarwal, MD
- Puneet Agarwal, MD
- Tarun Agarwal, DDS
- Jasmine Marie Agati
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.