Active NPI
Justin Barbour, OTR/L
- Occupational Therapist
- Fayetteville, NC
National Provider Identifier
1730413352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7313
- Practice address
- 214 Cochran Ave
Fayetteville, NC 28301-3875 - Phone
- (843) 478-5625
- NPI assigned
- Sep 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7313 | NC | Primary |
| Occupational Therapist | 225X00000X | 3443 | SC |
Addresses
Primary practice location
214 Cochran Ave
Fayetteville, NC 28301-3875
Mailing address
728 Certificate CT
Charleston, SC 29414-9117
Phone (843) 478-5625
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3443 | SC | MD | Clinical Social Worker |
| 7313 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1730413352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 CERTIFICATE CT",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294149117",
"telephone_number": "843-478-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 COCHRAN AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013875",
"telephone_number": "843-478-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBOUR",
"first_name": "JUSTIN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7313",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.