Individual provider Active NPI

Priscilla Nunudzai Mutepfa

  • Occupational Therapist
  • Greensboro, NC
National Provider Identifier
1427727973
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8319 Issued in NC
Practice address
700 S Holden Rd
Greensboro, NC 27407-2321
Phone
(336) 547-2961
NPI assigned
Sep 8, 2021
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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 8319 NC Primary

Addresses

Primary practice location

700 S Holden Rd
Greensboro, NC 27407-2321

Mailing address

7586 Fintry Dr
Greensboro, NC 27409-9560
Phone (336) 912-1157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320001565 NC Practitioner - Occupational Therapist in Private Practice 0143742056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Alberta, Faculty of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regent LLCGroup PAC ID 5698098630, 6 clinicians

Practice addresses (Care Compare)

906 Burch Ave
Durham, NC 27701-2816
Phone (336) 662-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8319NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Solana Rehab LLC Occupational Therapist CurrentSince Feb 9, 2025 Accepting new patients
Regent LLC Occupational Therapist CurrentSince Jan 1, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1427727973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7586 FINTRY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099560",
            "telephone_number": "336-912-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HOLDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072321",
            "telephone_number": "336-547-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTEPFA",
        "first_name": "PRISCILLA",
        "middle_name": "NUNUDZAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.