Derrick Adrian Parker, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2771 Issued in SC

Practice address

9214 Royal Highlands CT
Charlotte, NC 28277-1782

Phone

(704) 919-0586

NPI assigned

Dec 19, 2010

Last updated

Jan 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1902109606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9214 ROYAL HIGHLANDS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771782",
            "telephone_number": "704-919-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9214 ROYAL HIGHLANDS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771782",
            "telephone_number": "704-919-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DERRICK",
        "middle_name": "ADRIAN",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-19",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2771",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "6068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Rebecca Parker, CRNA
• Chelsea Parker, PT
• David Cecil Parker, P.T.
• Debriana Parker
• Deidra Parker, LCAS-A
• Destiny Parker
• Diane Louise Parker, CCLS
• Eileen Q. Parker, CRNA
• Elizabeth Brearley Parker, PH.D.
• Ericka Parker

• Occupational Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.