Hannah Kanthak, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12888 Issued in NC

Practice address

309 Mount Carmel Church Rd
Henderson, NC 27537-4223

Phone

(252) 438-8415

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hannah Mead Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1497343446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MACON ST UNIT A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011815",
            "telephone_number": "920-841-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MOUNT CARMEL CHURCH RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275374223",
            "telephone_number": "252-438-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTHAK",
        "first_name": "HANNAH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ezEdMed",
            "affiliation": "Y",
            "endpointDescription": "Computer Program/Medicaid Billing",
            "affiliationName": "Vance County Schools",
            "address_1": "309 Mount Carmel Church Rd",
            "city": "Henderson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275374223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "MEAD",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Regina N Judge, CRPNP
• Tammy S Juntunen, M.A., LPA
• Jyotimallika, D.M.D., P.L.L.C.
• Nirmala Purushotham Kamath, RPH
• Snigdha Kanakamedala, MD
• Crystal Young Kaplan, ARNP
• Kara Henderson, DDS, PA II
• Karing Hearts LLC
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• Kearah'S Place Inc.

• Occupational Therapist in Henderson, NC
• Providers in Henderson, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.