Jennifer Prutch, OTR

Individual provider Active NPI Occupational Therapist · New Bern, NC

NPI 1649246265 · NPPES record last updated Jul 31, 2008

Key facts

NPI
1649246265
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6928 (NC)
Practice address
738 Newman Rd
New Bern, NC 28562-5238
Phone
(252) 634-2676
Fax
(252) 633-3502
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
H.D.P.R.G., Inc Occupational Therapist Past
since Aug 1, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6928 NC Yes

Addresses

Primary practice location

738 Newman Rd
New Bern, NC 28562-5238

Mailing address

738 Newman Rd
New Bern, NC 28562-5238
Phone (252) 634-2676

Other providers in New Bern, NC

All providers in New Bern, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.