Active NPI
Amazing Achievements Occupational Therapy, PLLC
- Rehabilitation Clinic/Center
- Castle Hayne, NC
National Provider Identifier
1861003725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- AMAZING ACHIEVEMENTS OCCUPATIONAL THERAPY, PLLC
- Practice address
- 2202 Emerald Ave
Castle Hayne, NC 28429-5692 - Phone
- (708) 712-1200
- NPI assigned
- Aug 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Ann Davis, OTR/L
- Title
- Occupational Therapist and Owner
- Phone
- (708) 712-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
2202 Emerald Ave
Castle Hayne, NC 28429-5692
Mailing address
2202 Emerald Ave
Castle Hayne, NC 28429-5692
Phone (708) 712-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1861003725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 EMERALD AVE",
"city": "CASTLE HAYNE",
"state": "NC",
"postal_code": "284295692",
"telephone_number": "708-712-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 EMERALD AVE",
"city": "CASTLE HAYNE",
"state": "NC",
"postal_code": "284295692",
"telephone_number": "708-712-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING ACHIEVEMENTS OCCUPATIONAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-13",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST AND OWNER",
"authorized_official_telephone_number": "708-712-1200",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Hayne, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.