Individual provider Active NPI

Trisha Ashley Deane, OTR/L

  • Occupational Therapist
  • Hampstead, NC
National Provider Identifier
1679726897
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5320 Issued in NC
Practice address
100 Winslow Dr
Hampstead, NC 28443-8120
Phone
(910) 352-4574
NPI assigned
Oct 31, 2008
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5320 NC Primary

Addresses

Primary practice location

100 Winslow Dr
Hampstead, NC 28443-8120

Mailing address

100 Winslow Dr
Hampstead, NC 28443-8120
Phone (910) 352-4574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410001704 NC Practitioner - Occupational Therapist in Private Practice 0244754349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage OT Inc.Group PAC ID 4981841582, 16 clinicians

Practice addresses (Care Compare)

103 N Plain Rd
Jacksonville, NC 28546-6760
Phone (910) 298-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5320NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage OT, PC Occupational Therapist CurrentSince Mar 26, 2025 Accepting new patients
Advantage OT Inc. Occupational Therapist CurrentSince Mar 26, 2025 Accepting new patients

Locations

160 N NC 241 Hwy
Beulaville, NC 28518
Phone (888) 258-6905

103 N Plain Rd
Jacksonville, NC 28546
Phone (888) 258-6905

Organizations & group practices 2

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1679726897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINSLOW DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438120",
            "telephone_number": "910-352-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WINSLOW DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438120",
            "telephone_number": "910-352-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANE",
        "first_name": "TRISHA",
        "middle_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.