Individual provider Active NPI

Paula Beaver McDaries, COTA/L

  • Occupational Therapy Assistant
  • Kannapolis, NC
National Provider Identifier
1679894018
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
7317 Issued in NC
Practice address
9205 Wright Rd
Kannapolis, NC 28081-7901
Phone
(704) 934-2501
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7317 NC Primary

Addresses

Primary practice location

9205 Wright Rd
Kannapolis, NC 28081-7901

Mailing address

9205 Wright Rd
Kannapolis, NC 28081-7901
Phone (704) 934-2501

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

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1679894018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 WRIGHT RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280817901",
            "telephone_number": "704-934-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 WRIGHT RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280817901",
            "telephone_number": "704-934-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDARIES",
        "first_name": "PAULA",
        "middle_name": "BEAVER",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.