Individual provider Active NPI

Tremayne T Thurman, AS, MRS, OTR/L

  • Hand Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1457414823
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
5574 Issued in NC
Practice address
5860 Yadkin Rd
Fayetteville, NC 28303-2668
Phone
(910) 401-9210
Fax
(910) 401-9211
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 5574 NC Primary

Addresses

Primary practice location

5860 Yadkin Rd
Fayetteville, NC 28303-2668

Mailing address

5860 Yadkin Rd
Fayetteville, NC 28303-2668
Phone (910) 401-9210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000108 NC Practitioner - Occupational Therapist in Private Practice 6103902291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution IncorporatedGroup PAC ID 8921361841, 3 clinicians

Practice addresses (Care Compare)

5860 Yadkin Rd
Fayetteville, NC 28303-2668
Phone (910) 491-5164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Science

State licenses

LicenseStateTypeSpecialty
5574NCMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution USA Group Incorporated Current Accepting new patients
Revolution Incorporated CurrentSince Nov 10, 2017 Accepting new patients

Locations

5860 Yadkin Rd
Fayetteville, NC 28303
Phone (910) 401-9210

5310 Yadkin Rd
Fayetteville, NC 28303
Phone (910) 401-9210

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1457414823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 YADKIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032668",
            "telephone_number": "910-401-9210",
            "fax_number": "910-401-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 YADKIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032668",
            "telephone_number": "910-401-9210",
            "fax_number": "910-401-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "TREMAYNE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "AS, MRS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "5574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.