Active NPI
Olivia Austen Trull, OTR/L
- Occupational Therapist
- Wallace, NC
National Provider Identifier
1386338390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15948
- Practice address
- 4026 S NC 11 Hwy
Wallace, NC 28466-6110 - Phone
- (910) 285-9050
- NPI assigned
- Jun 5, 2023
- Last updated
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15948 | SC | Primary |
Addresses
Primary practice location
4026 S NC 11 Hwy
Wallace, NC 28466-6110
Mailing address
5100 Raintree LN
Greenville, SC 29615-3837
Phone (864) 293-4383
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15948 | NC | MD | Pharmacist |
| 15948 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1386338390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 RAINTREE LN",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153837",
"telephone_number": "864-293-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4026 S NC 11 HWY",
"city": "WALLACE",
"state": "NC",
"postal_code": "284666110",
"telephone_number": "910-285-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRULL",
"first_name": "OLIVIA",
"middle_name": "AUSTEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "15948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallace, NC
- Total Renal Care of North Carolina LLC (Wallace Dialysis)
- Bethany Cavan Treibley, FNP-C
- Tri-County Youth Services, Inc.
- Tri-County Youth Services, Inc.
- Trinity Family Medicine, P.a.
- Urgent Care of Wallace, PLLC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1352)
- Walgreen Co. (Walgreens #10088)
- Kayla Sholar Walker, FNP
- Wallace Drug Co Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.