George Douglas Busch, MS OTR
Individual provider Active NPI Pediatric Occupational Therapist · Durham, NC
NPI 1386769321 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1386769321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 2878 (NC)
- Practice address
- 207 N Riverdale Dr
Durham, NC 27712-2069 - Phone
- (919) 383-7585
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2878 | NC | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2878 | NC | |
| Pediatric Occupational Therapist | 225XP0200X | 2878 | NC | Yes |
Addresses
Primary practice location
207 N Riverdale Dr
Durham, NC 27712-2069
Mailing address
207 N Riverdale Dr
Durham, NC 27712-2069
Phone (919) 383-7585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301178 | Medicaid | NC | |
| 139CF | Other | NC | BCBS OF NC |
Other providers in Durham, NC
- Gloria Harvey Burton
- James Coleman Burton
- Wanda Chestnut Burton
- Latasha Burwell
- Callan Jane Burzynski
- Virginia Smith Busch
- Deanne Buschbach
- April Laverne Buscher
- Alyssa Marie Bush
- Aryano Bush
All providers in Durham, NC · Pediatric 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 Sep 11, 2025. 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.