Individual provider Active NPI

Jo Teachman, MS, OTR/L

  • Occupational Therapist
  • Carrboro, NC
National Provider Identifier
1437186921
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1662 Issued in NC
Practice address
610 Jones Ferry Rd
Suite 106
Carrboro, NC 27510-6113
Phone
(919) 929-2219
Fax
(919) 929-2219
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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 1662 NC Primary

Addresses

Primary practice location

610 Jones Ferry Rd
Suite 106
Carrboro, NC 27510-6113

Mailing address

610 Jones Ferry Rd
Suite 106
Carrboro, NC 27510-6113

Other identifiers 1

IdentifierTypeStateIssuer
7381992MedicaidNC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1662NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1437186921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 JONES FERRY RD",
            "address_2": "SUITE 106",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 JONES FERRY RD",
            "address_2": "SUITE 106",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106113",
            "telephone_number": "919-929-2219",
            "fax_number": "919-929-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHMAN",
        "first_name": "JO",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7381992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.