Meredith Burke Lukasevics
Individual provider Active NPI Occupational Therapist · Colfax, NC
NPI 1356797310 · NPPES record last updated Apr 5, 2022
Key facts
- NPI
- 1356797310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 9043 (NC)
- Practice address
- 1575 John Knox Dr
Colfax, NC 27235-9662 - Phone
- (336) 668-4900
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9043 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9043 | NC | Yes |
Addresses
Primary practice location
1575 John Knox Dr
Colfax, NC 27235-9662
Mailing address
1842 Ridge Creek Dr
Kernersville, NC 27284-6959
Other practice location 1
1014 Grays Land Ct
Apt 735
Kernersville, NC 27284-0048
Phone (336) 803-1284
Other providers in Colfax, NC
- Hyung Won Lee, DDS, P.a.
- Kayla Kinard
- Ashley Samantha Kizzie
- Ward S. Lambeth
- Allison Elliott Loretti
- Margaret Otwell McCracken
- Robert W McFayden Jr.
- Augusta Mendenhall
- Sarah Lynn Mevissen
- Chasity Nelson
All providers in Colfax, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.