Active NPI
Phillip D Pugh, MA,MA,CERT.
- Assistive Technology Practitioner Rehabilitation Counselor
- Durham, NC
National Provider Identifier
1669489423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- Practice address
- 508 Fulton Street
Durham, NC 27705 - Phone
- (919) 286-0411
- Fax
- (919) 286-6805
- NPI assigned
- Aug 2, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | NU | ||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | NU | Primary |
Addresses
Primary practice location
508 Fulton Street
Durham, NC 27705
Mailing address
2901 Moorgate Ave
Durham, NC 27704-6037
Phone (919) 471-6418
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669489423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 MOORGATE AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277046037",
"telephone_number": "919-471-6418",
"fax_number": "919-471-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON STREET",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-286-0411",
"fax_number": "919-286-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "PHILLIP",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MA,MA,CERT.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255R0406X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Psychotherapeutic Services
- Psychsolutions of Durham PLLC
- Publix North Carolina, LP (Publix Pharmacy #1888)
- Publix North Carolina, LP (Publix Pharmacy 1817)
- Bridget Puckett, LCSWA
- Tyania Pugh, LCMHCA, NCC, CRC
- Joshua Edward Pugliese, PA-C
- Julia Pulawski, OTR/L
- Sunitha Pullaiah, B.PHARM
- Grace Pulliam, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.