Active NPI
Rucha Shrinivas Deshpande
- Occupational Therapy Assistant
- Raleigh, NC
National Provider Identifier
1740861160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 13082
- Practice address
- 5209 Neuse Tavern CT
Raleigh, NC 27616-7889 - Phone
- (919) 578-3285
- NPI assigned
- Apr 16, 2021
- Last updated
- Apr 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 13082 | NC | Primary |
Addresses
Primary practice location
5209 Neuse Tavern CT
Raleigh, NC 27616-7889
Mailing address
105 Milley Brook CT
Cary, NC 27519-8507
Phone (919) 949-4520
Other practice location 1
72 Chatham Business Dr
Pittsboro, NC 27312-5687
Phone (919) 542-6677
Other practice location 2
303 E Carver St
Durham, NC 27704-2135
Phone (919) 471-3558
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 |
|---|---|---|---|
| 13082 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Locus Family Centered Therapies | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Raleigh, NC
- NPI 1659712412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1740861160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MILLEY BROOK CT",
"city": "CARY",
"state": "NC",
"postal_code": "275198507",
"telephone_number": "919-949-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5209 NEUSE TAVERN CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276167889",
"telephone_number": "919-578-3285"
}
],
"practiceLocations": [
{
"address_1": "72 Chatham Business Dr",
"address_purpose": "LOCATION",
"city": "Pittsboro",
"state": "NC",
"postal_code": "273125687",
"country_code": "US",
"telephone_number": "919-542-6677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 E Carver St",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277042135",
"country_code": "US",
"telephone_number": "919-471-3558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESHPANDE",
"first_name": "RUCHA",
"middle_name": "SHRINIVAS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "13082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.