Active NPI
Mia Thurston
- Occupational Therapist
- Cary, NC
National Provider Identifier
1912610692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14946
- Practice address
- 1051 Darlington Dr.
Cary, NC 27513 - Phone
- (984) 299-6930
- NPI assigned
- Dec 28, 2022
- Last updated
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14946 | NC | Primary |
Addresses
Primary practice location
1051 Darlington Dr.
Cary, NC 27513
Mailing address
4213 Philadelphia St
Raleigh, NC 27606-7410
Phone (207) 228-4965
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14946 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1912610692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 PHILADELPHIA ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276067410",
"telephone_number": "207-228-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 DARLINGTON DR.",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "984-299-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURSTON",
"first_name": "MIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.