Bridget Gillis Rascoe

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

9611 Issued in NC

Practice address

195 Springbrook Ave
Clayton, NC 27520-8105

Phone

(912) 550-7200

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1619605227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BELLEFIELD LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275278313",
            "telephone_number": "252-814-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SPRINGBROOK AVE",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275208105",
            "telephone_number": "912-550-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCOE",
        "first_name": "BRIDGET",
        "middle_name": "GILLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "9611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chathuranga Sanjeewa Rambusingh Vithanage
• Janice Rando, LPCA
• Anshul Mocherla Rao, MD
• Jessica Raper
• Mia Nicole Rappleye
• David Rattie, PTA
• Mary Ray-Council, LCAS-A, CSAC
• Alexandra Baggstrom Ray
• Lacretia Denise Ray, LICENSED MASSAGE THE
• Lindsay Lewis Ray, LCSW

• Occupational Therapy Assistant in Clayton, NC
• Providers in Clayton, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.