Individual provider Active NPI

Chetan Deshmukh, OTR/L

  • Occupational Therapist
  • Apex, NC
National Provider Identifier
1891931382
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6766 Issued in NC
Practice address
1101 Pemberton Hill Rd Ste 102
Apex, NC 27502-3957
Phone
(919) 659-5478
Fax
(919) 800-3236
NPI assigned
Jan 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6766 NC Primary

Addresses

Primary practice location

1101 Pemberton Hill Rd Ste 102
Apex, NC 27502-3957

Mailing address

1101 Pemberton Hill Rd Ste 102
Apex, NC 27502-3957
Phone (919) 659-5478

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6766NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraccess, PLLC Occupational Therapist CurrentSince Jul 4, 2021 Accepting new patients

Locations

1101 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 421-4263

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1891931382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PEMBERTON HILL RD STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023957",
            "telephone_number": "919-659-5478",
            "fax_number": "919-800-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PEMBERTON HILL RD STE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023957",
            "telephone_number": "919-659-5478",
            "fax_number": "919-800-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "CHETAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-05",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.