Active NPI
Enabling Opportunities
- Pediatric Occupational Therapist
- Durham, NC
National Provider Identifier
1457585879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5263
- Legal business name
- ENABLING OPPORTUNITIES
- Practice address
- 5012 Rolling Meadows Dr
Durham, NC 27703-9239 - Phone
- (919) 923-6067
- Fax
- (919) 957-0055
- NPI assigned
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jamie Lynn Bittner, MS
- Title
- Otr/L- Occupational Therapist
- Phone
- (919) 923-6067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5263 | NC | Primary |
Addresses
Primary practice location
5012 Rolling Meadows Dr
Durham, NC 27703-9239
Mailing address
5012 Rolling Meadows Dr
Durham, NC 27703-9239
Phone (919) 923-6067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301882 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1457585879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 ROLLING MEADOWS DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039239",
"telephone_number": "919-923-6067",
"fax_number": "919-957-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 ROLLING MEADOWS DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039239",
"telephone_number": "919-923-6067",
"fax_number": "919-957-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENABLING OPPORTUNITIES",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "BITTNER",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OTR/L- OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "919-923-6067",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "5263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301882",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.