Individual provider Active NPI

Harley Eugene Trero, OTA/L

  • Occupational Therapy Assistant
  • Winston Salem, NC
National Provider Identifier
1851635411
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
6164 Issued in NC
Practice address
849 Waterworks Rd
Winston Salem, NC 27101-1956
Phone
(336) 595-2166
NPI assigned
Nov 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6164 NC Primary

Addresses

Primary practice location

849 Waterworks Rd
Winston Salem, NC 27101-1956

Mailing address

339 Burkewood Dr
Winston Salem, NC 27104-3940

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

LicenseStateTypeSpecialty
6164NCMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1851635411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 BURKEWOOD DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 WATERWORKS RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011956",
            "telephone_number": "336-595-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRERO",
        "first_name": "HARLEY",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "6164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.