Organization Active NPI

Independent Occupational Therapy, Inc.

  • Home Health Agency
  • Wrightsville Beach, NC
National Provider Identifier
1700038585
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5204 Issued in NC
Legal business name
INDEPENDENT OCCUPATIONAL THERAPY, INC.
Practice address
732B S Lumina Ave
Wrightsville Beach, NC 28480-2168
Phone
(910) 520-2702
Fax
(910) 509-9397
NPI assigned
Oct 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Seth James Berkebile, MS, OTR/LNPI 1417002817
Title
Owner
Phone
(910) 520-2702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5204 NC Primary

Addresses

Primary practice location

732B S Lumina Ave
Wrightsville Beach, NC 28480-2168

Mailing address

PO Box 1437
Wrightsville Beach, NC 28480-1437
Phone (910) 520-2702

Other identifiers 2

IdentifierTypeStateIssuer
7211458MedicaidNC
7200226MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1700038585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1437",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801437",
            "telephone_number": "910-520-2702",
            "fax_number": "910-509-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732B S LUMINA AVE",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284802168",
            "telephone_number": "910-520-2702",
            "fax_number": "910-509-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT OCCUPATIONAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-11",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BERKEBILE",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-520-2702",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211458",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200226",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.