Active NPI
Randi Wolk, MA,OTR/L
- Pediatric Occupational Therapist
- Raleigh, NC
National Provider Identifier
1801165394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4166
- Practice address
- 739 Chappell Dr
Raleigh, NC 27606-3215 - Phone
- (919) 832-3909
- Fax
- (919) 832-3035
- NPI assigned
- Dec 29, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4166 | NC | Primary |
Addresses
Primary practice location
739 Chappell Dr
Raleigh, NC 27606-3215
Mailing address
739 Chappell Dr
Raleigh, NC 27606-3215
Phone (919) 832-3909
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4166 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randi Wolk Occupational Therapy Services, PLLC | Current | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Raleigh, NC
- NPI 1417727934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1801165394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 CHAPPELL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063215",
"telephone_number": "919-832-3909",
"fax_number": "919-832-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 CHAPPELL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063215",
"telephone_number": "919-832-3909",
"fax_number": "919-832-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "RANDI",
"credential": "MA,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "4166",
"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 Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.