Active NPI
Amy Lee McComish, OTR/L
- Occupational Therapist
- Jacksonville, NC
National Provider Identifier
1578722021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4579
- Practice address
- 1839 Onslow Dr
Jacksonville, NC 28540-5906 - Phone
- (910) 455-3610
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 4579 | NC | Primary |
Addresses
Primary practice location
1839 Onslow Dr
Jacksonville, NC 28540-5906
Mailing address
100 Wheaton Dr
Richlands, NC 28574-8192
Phone (910) 200-6190
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 |
|---|---|---|---|
| 4579 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1578722021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WHEATON DR",
"city": "RICHLANDS",
"state": "NC",
"postal_code": "285748192",
"telephone_number": "910-200-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 ONSLOW DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405906",
"telephone_number": "910-455-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMISH",
"first_name": "AMY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "4579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.