Organization Active NPI

Little Achievers Therapy

  • Pediatric Occupational Therapist
  • Garner, NC
National Provider Identifier
1639394828
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5768 Issued in NC
Legal business name
LITTLE ACHIEVERS THERAPY
Practice address
12450 Cleveland Rd
Ste 104
Garner, NC 27529-8353
Phone
(919) 772-0956
NPI assigned
Apr 14, 2007
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Mrs. Deborah Locke Martin, OTRL
Title
Occupational Therapist
Phone
(919) 772-0956

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X P10182 NC
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 5768 NC Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 8458 NC

Addresses

Primary practice location

12450 Cleveland Rd
Ste 104
Garner, NC 27529-8353

Mailing address

12450 Cleveland Rd
Ste 104
Garner, NC 27529-8353
Phone (919) 772-0956

Other identifiers 1

IdentifierTypeStateIssuer
7200136MedicaidNC

National Provider Directory

National Provider Directory

Locations

12450 Cleveland Rd
Ste 104
Garner, NC 27529
Phone (919) 772-0956

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1639394828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 CLEVELAND RD",
            "address_2": "STE 104",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298353",
            "telephone_number": "919-772-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 CLEVELAND RD",
            "address_2": "STE 104",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298353",
            "telephone_number": "919-772-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ACHIEVERS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LOCKE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "919-772-0956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P10182",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "5768",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 15, 2011; 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.