Individual provider Active NPI

David Stephen Pritchard, OTRL

  • Pediatric Occupational Therapist
  • Hickory, NC
National Provider Identifier
1306817754
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3375 Issued in NC
Practice address
1087 13TH St SE
Childrens Neurotherapy Services
Hickory, NC 28602-4165
Phone
(828) 267-1688
Fax
(828) 267-1690
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3375 NC Primary

Addresses

Primary practice location

1087 13TH St SE
Childrens Neurotherapy Services
Hickory, NC 28602-4165

Mailing address

1087 13TH St SE
Childrens Neurotherapy Services
Hickory, NC 28602-4165
Phone (828) 267-1688

Other identifiers 5

IdentifierTypeStateIssuer
7301320MedicaidNC
87869OtherNCMEDCOST
9069303OtherPHCS
12068OtherNCBCBS
11313065OtherCAQH

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

LicenseStateTypeSpecialty
3375NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Neurotherapy Services Pediatrics Past Accepting new patients
Children'S Neurotherapy Services 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1306817754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 13TH ST SE",
            "address_2": "CHILDRENS NEUROTHERAPY SERVICES",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "828-267-1688",
            "fax_number": "828-267-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 13TH ST SE",
            "address_2": "CHILDRENS NEUROTHERAPY SERVICES",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "828-267-1688",
            "fax_number": "828-267-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "DAVID",
        "middle_name": "STEPHEN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301320",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "87869",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9069303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12068",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11313065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.