Annarose Nicole Austin, OTD
Individual provider Active NPI Occupational Therapist · Raeford, NC
NPI 1275359804 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1275359804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17344 (NC)
- Practice address
- 1206 Fulton St
Raeford, NC 28376-1926 - Phone
- (910) 875-4280
- NPI assigned
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
205 SE Service Rd
Southern Pines, NC 28387-5057
Phone (910) 246-0629
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250828000505 | NC | Practitioner - Occupational Therapist in Private Practice | 9638670029 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17344 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current |
Accepting new patients |
| Legacy Healthcare Services, Inc. | Occupational Therapist | Current |
Accepting new patients |
| Pediatric Developmental Therapy | Occupational Therapist | Past |
Accepting new patients |
| Pediatric Developmental Therapy | Past |
Accepting new patients |
Locations
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
205 SE Service Rd
Southern Pines, NC 28387
Phone (910) 246-0629
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17344 | NC | Yes |
Addresses
Primary practice location
1206 Fulton St
Raeford, NC 28376-1926
Mailing address
145 Laurel Oak LN
Pinebluff, NC 28373-8020
Phone (336) 596-1188
Other providers in Raeford, NC
- Kitty Rene Anderson
- Korinda Anderson
- Anthony V Santangelo DC PC
- April D Parker
- Audreys Community Care Agency
- Autry Behavioral & Resource Center
- Autry Behavioral Consultants & Resources
- Autumn Corporation
- Autumn Corporation
- Mechele Rozier Avery
All providers in Raeford, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.