Active NPI
Anna Lucas, OTD, OTR/L
- Occupational Therapist
- Apex, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14042
- Practice address
- 852 Perry Rd
Apex, NC 27502-7701 - Phone
- (919) 446-5670
- Fax
- (919) 267-4761
- NPI assigned
- May 2, 2021
- Last updated
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14042 | NC | Primary |
Addresses
Primary practice location
852 Perry Rd
Apex, NC 27502-7701
Mailing address
168 Boxfield Rd
Pittsburgh, PA 15241-2131
Phone (412) 527-0823
Other practice location 1
4712 Dillingham Ct
Raleigh, NC 27604-4738
Phone (412) 527-0823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Goldrock Rd
Rocky Mount, NC 27804-8804
Phone (252) 645-3230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14042 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Occupational Therapist | Current | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients |
Locations
1 Pond St
Arden, NC 28704
Phone 82877452220027
1251 S Winstead Ave
Rocky Mount, NC 27803
Phone (252) 443-3999
650 Goldrock Rd
Rocky Mount, NC 27804
Phone (252) 446-0974
915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224
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.
-
dba Broad River Rehab
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1720661366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 BOXFIELD RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152412131",
"telephone_number": "412-527-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 PERRY RD",
"city": "APEX",
"state": "NC",
"postal_code": "275027701",
"telephone_number": "919-446-5670",
"fax_number": "919-267-4761"
}
],
"practiceLocations": [
{
"address_1": "4712 Dillingham Ct",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276044738",
"country_code": "US",
"telephone_number": "412-527-0823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "ANNA",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-02",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.