Active NPI
Elaine Marie Vanoverbake
- Occupational Therapist
- Durham, NC
National Provider Identifier
1508017252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002536-1
- Practice address
- 2701 Pickett Rd
Durham, NC 27705-5688 - Phone
- (919) 419-9600
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 002536-1 | NY | Primary |
Addresses
Primary practice location
2701 Pickett Rd
Durham, NC 27705-5688
Mailing address
229 Braxman LN
Holly Springs, NC 27540-6987
Phone (585) 738-2475
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002536-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1508017252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 BRAXMAN LN",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275406987",
"telephone_number": "585-738-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 PICKETT RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055688",
"telephone_number": "919-419-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANOVERBAKE",
"first_name": "ELAINE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "002536-1",
"primary": true
}
],
"identifiers": [],
"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 Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.