Individual provider Active NPI

Patricia Abigail Behrle, COTA/L

  • Occupational Therapy Assistant
  • Cary, NC
National Provider Identifier
1366063802
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
6175 Issued in NC
Practice address
125 Edinburgh South Dr
Cary, NC 27511-6484
Phone
(919) 481-6712
NPI assigned
May 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6175 NC Primary

Addresses

Primary practice location

125 Edinburgh South Dr
Cary, NC 27511-6484

Mailing address

4712 River Boat Landing CT
Raleigh, NC 27604-6108

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL patricia.behrle@aveanna.com Pediatric Services of America, LLC
CONNECT URL patricia.behrle@aveanna.com Pediatric Services of America, LLC
CONNECT URL patricia.behrle@aveanna.com Pediatric Services of America, LLC

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
6175NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Services of America, LLC Past Accepting new patients

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1366063802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 RIVER BOAT LANDING CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EDINBURGH SOUTH DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116484",
            "telephone_number": "919-481-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRLE",
        "first_name": "PATRICIA",
        "middle_name": "ABIGAIL",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "6175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patricia.behrle@aveanna.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Pediatric Services of America, LLC",
            "address_1": "125 Edinburgh South Dr",
            "address_2": "Suite 106",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275116484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patricia.behrle@aveanna.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Pediatric Services of America, LLC",
            "address_1": "125 Edinburgh South Dr",
            "address_2": "Suite 106",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275116484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patricia.behrle@aveanna.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Pediatric Services of America, LLC",
            "address_1": "125 Edinburgh South Dr",
            "address_2": "Suite 106",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275116484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.