Geraldine Church, B.S.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0413 Issued in NC

Practice address

3854 Peoria Rd
Sugar Grove, NC 28679-9591

Phone

(828) 964-1903

NPI assigned

Dec 27, 2011

Last updated

Dec 27, 2011By the provider in NPPES

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

• Gerri Church Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1508135161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 PEORIA RD",
            "city": "SUGAR GROVE",
            "state": "NC",
            "postal_code": "286799591",
            "telephone_number": "828-964-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 PEORIA RD",
            "city": "SUGAR GROVE",
            "state": "NC",
            "postal_code": "286799591",
            "telephone_number": "828-964-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "GERALDINE",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "0413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERRI",
            "last_name": "CHURCH",
            "credential": "B.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Birdsong Therapy Services
• Patricia Ellen Birdsong, M.A., SLP
• Jung Tao School of Classical Chinese Medicine
• Holly Winfield Klein, M.S., CCC-SLP
• Joanna Leigh Osmond, LCSW
• Lois M. Pittman
• Eric Michael Shults, MS, BCBA

• Occupational Therapist in Sugar Grove, NC
• Providers in Sugar Grove, 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 Dec 27, 2011; 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.