Active NPI
Andrea Rae Jones, COTA/L
- Occupational Therapy Assistant
- Hickory, NC
National Provider Identifier
1629312517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5957
- Practice address
- 350 1St St NE
Hickory, NC 28601-5004 - Phone
- (828) 449-0558
- NPI assigned
- Nov 16, 2012
- 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 Therapy Assistant | 224Z00000X | 5957 | NC | Primary |
Addresses
Primary practice location
350 1St St NE
Hickory, NC 28601-5004
Mailing address
350 1St St NE
Hickory, NC 28601-5004
Phone (828) 449-0558
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1629312517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 1ST ST NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015004",
"telephone_number": "828-449-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 1ST ST NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015004",
"telephone_number": "828-449-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANDREA",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "5957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.