Active NPI
Chris Phillips, COTA/L
- Occupational Therapy Assistant
- Oak Island, NC
National Provider Identifier
1285032326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3392
- Practice address
- 4016 E Beach Dr
Oak Island, NC 28465 - Phone
- (910) 200-3805
- NPI assigned
- Dec 5, 2014
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 3392 | SC | Primary |
Addresses
Primary practice location
4016 E Beach Dr
Oak Island, NC 28465
Mailing address
4016 E Beach Dr
Oak Island, NC 28465-5515
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3392 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1285032326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 E BEACH DR",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "284655515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 E BEACH DR",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "28465",
"telephone_number": "910-200-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CHRIS",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "3392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Island, NC
- Oak Island Medical Center, PA
- Pain Management of the Carolinas
- Paragon Outpatient Rehabilitation Services, LLC
- Kerry Lee Partis, MD
- Belinda Owen Phillips, RN IBCLC
- Presbyterian Regional Healthcare Corp.
- Kelsey Eaves Rivenburgh
- Amanda L Shirley, FNP-C
- Hailey Lynn la Rocque Sparacino, DO
- Jaime Staron, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.