Active NPI
Emily H Middlebrook
- Occupational Therapy Assistant
- Concord, NC
National Provider Identifier
1821454323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5205
- Practice address
- 487 Lake Concord Rd NE
Concord, NC 28025 - Phone
- (704) 403-3000
- NPI assigned
- Jan 13, 2016
- 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 | 5205 | NC | Primary |
Addresses
Primary practice location
487 Lake Concord Rd NE
Concord, NC 28025
Mailing address
10043 Idlewild Rd Apt 341
Matthews, NC 28105-2042
Phone (704) 545-4220
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 |
|---|---|---|---|
| 5205 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1821454323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10043 IDLEWILD RD APT 341",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052042",
"telephone_number": "704-545-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 LAKE CONCORD RD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "28025",
"telephone_number": "704-403-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLEBROOK",
"first_name": "EMILY",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "5205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.