Carolina Mobile Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0780 Issued in NC

Legal business name

CAROLINA MOBILE THERAPY

Practice address

5701 Quail Covey LN
Wendell, NC 27591-9506

Phone

(919) 413-9901

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Beatrice R Vines, OTNPI 1962499970

Title

OT/L

Phone

(919) 413-9901

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beatrice Vines, O.T.

  • Occupational Therapist
  • Wendell, NC
  • NPI 1962499970
  NPD (past) Authorized official

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1346523511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 QUAIL COVEY LN",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919506",
            "telephone_number": "919-413-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 QUAIL COVEY LN",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919506",
            "telephone_number": "919-413-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MOBILE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OT/L",
        "authorized_official_telephone_number": "919-413-9901",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "0780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Denise Brown, M.ED., CCC-SLP
• Dianne Neil Brown, LCSW-P
• Ellen Adams Bryan, RPH
• Madison Bullard
• Thomas Andrew Burnette, D.D.S
• Chozyn Transit LLC
• Diane Christian, MSW, LCSW
• Rachel Clark, LCSW
• Judith M Claude
• Robert Eric Clayton, M.D.

• Occupational Therapist in Wendell, NC
• Providers in Wendell, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.