Active NPI
Mary Mitchell Walker
- Occupational Therapy Assistant
- Winterville, NC
National Provider Identifier
1932340452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6457
- Practice address
- 120 Berkshire Dr
Winterville, NC 28590-9105 - Phone
- (252) 737-1196
- Fax
- (252) 876-1544
- NPI assigned
- Mar 12, 2009
- 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 Therapy Assistant | 224Z00000X | 6457 | NC | Primary |
Addresses
Primary practice location
120 Berkshire Dr
Winterville, NC 28590-9105
Mailing address
1000 E 5TH St.
Greenville, NC 27858-4353
Other names 1
- Mary Walker
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 |
|---|---|---|---|
| 6457 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC DHHS Child and Family Well-Being | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- New Bern, NC
- NPI 1801011234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1932340452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E 5TH ST.",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278584353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BERKSHIRE DR",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909105",
"telephone_number": "252-737-1196",
"fax_number": "252-876-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MARY",
"middle_name": "MITCHELL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "6457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WALKER",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Winterville, NC
- Selina Yutangco Villamor, CRNA
- Voca Corporation of North Carolina (New Horizons)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-7235)
- Walgreen Co (Walgreens #12046)
- Walgreen Co (Walgreens #17018)
- Trenesha N Ward
- Mary Wilson Waters, LPA-HSP
- Audrey Watson, PHD
- Loren Simone Watts, FNP-C
- Takara Whichard, M.S, NCC, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.