Active NPI
George Andrew Haislip, OTR
- Occupational Therapist
- Hickory, NC
National Provider Identifier
1477574135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-8084
- Practice address
- 1760 24TH Avenue CT NE
Hickory, NC 28601-9652 - Phone
- (828) 467-1662
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-8084 | FL | Primary |
| Occupational Therapist | 225X00000X | 6369 | NC |
Addresses
Primary practice location
1760 24TH Avenue CT NE
Hickory, NC 28601-9652
Mailing address
1760 24TH Avenue CT NE
Hickory, NC 28601
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-8084 | FL | MD | Occupational Therapist |
| 6369 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1477574135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 24TH AVENUE CT NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "28601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 24TH AVENUE CT NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286019652",
"telephone_number": "828-467-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAISLIP",
"first_name": "GEORGE",
"middle_name": "ANDREW",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT-8084",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.