Individual provider Active NPI

James Roger Brown, OTR/L CHT, CEAS

  • Hand Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1306880489
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
1636 Issued in NC
Practice address
530 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone
(910) 483-9000
Fax
(910) 483-9302
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 1636 NC Primary

Addresses

Primary practice location

530 Sandhurst Dr
Fayetteville, NC 28304-4426

Mailing address

1910 N Church St
Suite D
Greensboro, NC 27405-5632
Phone (336) 274-7480

Other identifiers 2

IdentifierTypeStateIssuer
18961OtherNCBCBS PROVIDER ID
7301894MedicaidNC

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Orthopaedic Clinic, PA Past Accepting new patients
The Mar Vista Group Inc Past Accepting new patients
Carolina Complete Rehab Center of Hope Mills Inc Past Accepting new patients
Breakthrough Physical Therapy Inc PastSince Jun 1, 2010 Accepting new patients
Activcare Physical Therapy, LLC PastSince Jan 18, 2016 Accepting new patients
Breakthrough Physical Therapy Past Accepting new patients

Organizations & group practices 6

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1306880489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST",
            "address_2": "SUITE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055632",
            "telephone_number": "336-274-7480",
            "fax_number": "336-274-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-9000",
            "fax_number": "910-483-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMES",
        "middle_name": "ROGER",
        "name_prefix": "Mr.",
        "credential": "OTR/L CHT, CEAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "18961",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301894",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 2010; 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.