Gina Renee Branch, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3839 Issued in NC

Practice address

102 Eastbrook Dr
Suite C
Greenville, NC 27858-4211

Phone

(252) 830-0245

Fax

(252) 830-0247

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapeutic Life Center, Inc.

  • Occupational Therapist
  • Greenville, NC
  • NPI 1275559759
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871609552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2163",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278360163",
            "telephone_number": "252-830-0245",
            "fax_number": "252-830-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 EASTBROOK DR",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584211",
            "telephone_number": "252-830-0245",
            "fax_number": "252-830-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "GINA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1229C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Brady, DO
• Ryan Alexander Brady, M.D.
• Barbara Cherry Brafford, PT, DPT
• Noelle C Braley, FNPC
• Grishondra L Branch-Mays, D.D.S.
• Nicholas Ryan Brandon II, MD
• Branigan Treat Brann, PA-C
• Nels Cooper Brannan, PHARMD
• Sara J Brannigan, CRNA
• Alexander Nicholas Brant

• Occupational Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.