Active NPI
Nancy Yamoah
- Occupational Therapist
- Concord, NC
National Provider Identifier
1821585688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13381
- Practice address
- 814 Blue Sky Dr NW
Concord, NC 28027-7966 - Phone
- (609) 380-0027
- NPI assigned
- Apr 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Occupational Therapist | 225X00000X | 13381 | NC | Primary |
Addresses
Primary practice location
814 Blue Sky Dr NW
Concord, NC 28027-7966
Mailing address
814 Blue Sky Dr NW
Concord, NC 28027-7966
Phone (609) 380-0027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13381 | Other | NC | OT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13381 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Collective Therapy Corp. | Occupational Therapist | Current | Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients |
Locations
8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225
2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1396380911
Occupational Therapist
-
- Physical Therapist
- Statesville, NC
- NPI 1619575651
Occupational Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Asheville, NC
- NPI 1477507523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1821585688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 BLUE SKY DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277966",
"telephone_number": "609-380-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 BLUE SKY DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277966",
"telephone_number": "609-380-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMOAH",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT",
"identifier": "13381",
"state": "NC"
}
],
"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 Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.