Active NPI
Aaron Cockburn, OTR/L
- Occupational Therapist
- Angier, NC
National Provider Identifier
1295225183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11450
- Practice address
- 9621 Bitter Melon Dr
Angier, NC 27501-5917 - Phone
- (919) 275-9675
- NPI assigned
- May 16, 2018
- Last updated
- May 16, 2018
- 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 Therapist | 225X00000X | 11450 | NC | Primary |
Addresses
Primary practice location
9621 Bitter Melon Dr
Angier, NC 27501-5917
Mailing address
9621 Bitter Melon Dr
Angier, NC 27501-5917
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 |
|---|---|---|---|
| 11450 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Grade Realty LLC | Occupational Therapist | Current | Accepting new patients |
| Children's Innovative Therapy | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Angler, NC
- NPI 1750404059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1295225183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 BITTER MELON DR",
"city": "ANGIER",
"state": "NC",
"postal_code": "275015917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9621 BITTER MELON DR",
"city": "ANGIER",
"state": "NC",
"postal_code": "275015917",
"telephone_number": "919-275-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKBURN",
"first_name": "AARON",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angier, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.