Individual provider Active NPI

Victoria Smith Christmas

  • Occupational Therapist
  • Jacksonville, NC
National Provider Identifier
1376173005
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13038 Issued in NC
Practice address
410 New Bridge St Ste 10a
Jacksonville, NC 28540-4700
Phone
(910) 347-2212
Fax
(910) 338-5013
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13038 NC Primary

Addresses

Primary practice location

410 New Bridge St Ste 10a
Jacksonville, NC 28540-4700

Mailing address

410 New Bridge St Ste 10a
Jacksonville, NC 28540-4700

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
13038NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
J.Z. Mann Pediatric Therapy, Inc. PastSince Jan 26, 2020 Accepting new patients
Pro Step Therapy Inc PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 2

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1376173005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NEW BRIDGE ST STE 10A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NEW BRIDGE ST STE 10A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404700",
            "telephone_number": "910-347-2212",
            "fax_number": "910-338-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAS",
        "first_name": "VICTORIA",
        "middle_name": "SMITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.