Active NPI
Christine Pufnock, M.S., OTR L
- Pediatric Occupational Therapist
- Fayetteville, NC
National Provider Identifier
1295796944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4683
- Practice address
- 382 Bubble Creek CT
Unit 2
Fayetteville, NC 28311-1403 - Phone
- (910) 551-8818
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4683 | NC | Primary |
Addresses
Primary practice location
382 Bubble Creek CT
Unit 2
Fayetteville, NC 28311-1403
Mailing address
3771 Ramsey St
Ste 109-393
Fayetteville, NC 28311-7675
Phone (910) 551-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301907 | Medicaid | NC |
Other names 1
- Christine Milbrad
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4683 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1295796944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 RAMSEY ST",
"address_2": "STE 109-393",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283117675",
"telephone_number": "910-551-8818",
"fax_number": "910-630-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 BUBBLE CREEK CT",
"address_2": "UNIT 2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283111403",
"telephone_number": "910-551-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUFNOCK",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "M.S., OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "4683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301907",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "MILBRAD",
"credential": "M.S., OTR L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.