NPIMap

Organization Active NPI

Southeast Occupational Therapy

  • Occupational Therapist
  • Whiteville, NC
National Provider Identifier
1366726622
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5171 Issued in NC
Legal business name
SOUTHEAST OCCUPATIONAL THERAPY
Practice address
1409 Spivey Rd
Whiteville, NC 28472-2904
Phone
(910) 840-4610
Fax
(910) 642-5929
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Mrs. Anna Turbeville Klara, OTR/LNPI 1518125889
Title
Owner Otr/L
Phone
(910) 840-4610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 5171 NC Primary

Addresses

Primary practice location

1409 Spivey Rd
Whiteville, NC 28472-2904

Mailing address

P.O. Box 363
Tabor City, NC 28463-8778
Phone (910) 840-4610

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1366726622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 363",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284638778",
            "telephone_number": "910-840-4610",
            "fax_number": "910-649-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 SPIVEY RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722904",
            "telephone_number": "910-840-4610",
            "fax_number": "910-642-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "KLARA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "TURBEVILLE",
        "authorized_official_title_or_position": "OWNER OTR/L",
        "authorized_official_telephone_number": "910-840-4610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.