Active NPI
Joseph Michael Erbstoesser, OT
- Occupational Therapist
- Raleigh, NC
National Provider Identifier
1609592138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15953
- Practice address
- 4909 Waters Edge Dr
Raleigh, NC 27606-2462 - Phone
- (919) 285-1647
- NPI assigned
- Oct 17, 2022
- Last updated
- Apr 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15953 | NC | Primary |
| Occupational Therapist | 225X00000X | 8076 | WI |
Addresses
Primary practice location
4909 Waters Edge Dr
Raleigh, NC 27606-2462
Mailing address
4909 Waters Edge Dr
Raleigh, NC 27606-2462
Phone (919) 285-1647
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 |
|---|---|---|---|
| 15953 | NC | MD | Pharmacist |
| 8076 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1609592138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 WATERS EDGE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062462",
"telephone_number": "919-285-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 WATERS EDGE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062462",
"telephone_number": "919-285-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERBSTOESSER",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-17",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15953",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "8076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
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- Jennifer Renee Erbst, PT
- Todd R Erbst, PT
- Madisan Ercanbrack
- Laura Lee Rose Erhardt, PHARM D
- Eric D. Hoverstad, DDS PLLC III (Raleigh Oral Surgery - North Raleigh)
- Eric D. Hoverstad, DDS, PLLC (North Hills Implant & Oral Surgery)
- Eric J. Oberdorf, O.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.