NPIMap

Organization Active NPI

Regent LLC

  • Occupational Therapist
  • Durham, NC
National Provider Identifier
1700287695
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7972 Issued in NC
Legal business name
REGENT LLC
Practice address
906 Burch Ave
Durham, NC 27701-2816
Phone
(336) 662-3737
Fax
(336) 663-0249
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Mr. Thomas Thomas, OTNPI 1336402064
Title
Ceo
Phone
(336) 662-3737

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 7972 NC Primary

Addresses

Primary practice location

906 Burch Ave
Durham, NC 27701-2816

Mailing address

906 Burch Ave
Durham, NC 27701-2816
Phone (336) 662-3737

Other practice location 1

4469 Veranda Lake Ct
Greensboro, NC 27409-9243
Phone (336) 662-3737

Other identifiers 2

IdentifierTypeStateIssuer
1700287695MedicaidNC
E133OtherNCMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141227000044 NC Part B Supplier - Clinic/Group Practice 5698098630 Receives reassigned benefits from 8 practitioners
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1700287695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 BURCH AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012816",
            "telephone_number": "336-662-3737",
            "fax_number": "336-663-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 BURCH AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012816",
            "telephone_number": "336-662-3737",
            "fax_number": "336-663-0249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4469 Veranda Lake Ct",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274099243",
            "country_code": "US",
            "telephone_number": "336-662-3737",
            "fax_number": "336-663-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-662-3737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "7972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700287695",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.