Active NPI
Rachel Noelle Durban, OTR/L
- Occupational Therapist
- Indian Trail, NC
National Provider Identifier
1639461569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9625
- Practice address
- 1004 Rosewater LN
Indian Trail, NC 28079-3712 - Phone
- (704) 283-0028
- NPI assigned
- May 11, 2011
- 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 Therapist | 225X00000X | 9625 | NC | Primary |
Addresses
Primary practice location
1004 Rosewater LN
Indian Trail, NC 28079-3712
Mailing address
1004 Rosewater LN
Indian Trail, NC 28079-3712
Phone (704) 283-0028
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 |
|---|---|---|---|
| 9625 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Pediatric Therapy | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1639461569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 ROSEWATER LN",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793712",
"telephone_number": "704-283-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 ROSEWATER LN",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793712",
"telephone_number": "704-283-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURBAN",
"first_name": "RACHEL",
"middle_name": "NOELLE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Trail, NC
- Rebecca Ann Dubose
- Jonathan Ducar, B.PHARM
- Logan Rollins Duffy
- Crystal Lynn Duke, MA CCC/SLP
- Mercedes Antonia Duncan, DMD
- Dva Healthcare Renal Care Inc (Crooked Creek Dialysis)
- Eastover Obstetrics and Gynecology Associates Inc (Atrium Health Women's Care Eastover OB/GYN)
- Jon Wayne Eccleston II, LCSW
- Camille Edmond, RPH
- Electrostim Medical Services, Inc. (Emsi)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.