Active NPI
Pediatricmo
- Occupational Therapist
- Garner, NC
National Provider Identifier
1598510042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PEDIATRICMO
- Practice address
- 69 Diamond Hill Cir
Garner, NC 27529-6690 - Phone
- (803) 257-3921
- NPI assigned
- Apr 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique D Hinton
- Title
- Occupational Therapist
- Phone
- (803) 257-3921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
69 Diamond Hill Cir
Garner, NC 27529-6690
Mailing address
69 Diamond Hill Cir
Garner, NC 27529-6690
Phone (803) 257-3921
Other names 1
- PediatricMO
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1598510042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 DIAMOND HILL CIR",
"city": "GARNER",
"state": "NC",
"postal_code": "275296690",
"telephone_number": "803-257-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 DIAMOND HILL CIR",
"city": "GARNER",
"state": "NC",
"postal_code": "275296690",
"telephone_number": "803-257-3921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICMO",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "HINTON",
"authorized_official_first_name": "MONIQUE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "803-257-3921"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PediatricMO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.