Individual provider Active NPI

Caroline Drake

  • Occupational Therapist
  • Burlington, NC
National Provider Identifier
1316619331
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14425 Issued in NC
Practice address
422 Huffman Mill Rd Ste 121
Burlington, NC 27215-5194
Phone
(336) 270-5304
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 14425 NC
Occupational Therapist 225X00000X 14425 NC Primary

Addresses

Primary practice location

422 Huffman Mill Rd Ste 121
Burlington, NC 27215-5194

Mailing address

11230 Centway Park Dr Apt 101
Raleigh, NC 27617-8476
Phone (224) 234-2442

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
14425NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday Kids, LLC Occupational Therapist CurrentSince Apr 21, 2024 Accepting new patients

Locations

422 Huffman Mill Rd
Ste 121
Burlington, NC 27215
Phone (336) 270-5304

Organizations & group practices 1

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1316619331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 CENTWAY PARK DR APT 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178476",
            "telephone_number": "224-234-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HUFFMAN MILL RD STE 121",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155194",
            "telephone_number": "336-270-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "14425",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.