Active NPI
Rachel Stuart, COTA
- Occupational Therapy Assistant
- Durham, NC
National Provider Identifier
1992265409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 11151
- Practice address
- 6000 Fayetteville Rd
Durham, NC 27713-9754 - Phone
- (919) 544-9021
- NPI assigned
- Mar 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Occupational Therapy Assistant | 224Z00000X | 11151 | NC | Primary |
Addresses
Primary practice location
6000 Fayetteville Rd
Durham, NC 27713-9754
Mailing address
6000 Fayetteville Rd
Durham, NC 27713-9754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11151 | Other | NC | CERTIFICATION NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | savaseniorcare.com |
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 |
|---|---|---|---|
| 11151 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1992265409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 FAYETTEVILLE RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 FAYETTEVILLE RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139754",
"telephone_number": "919-544-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "RACHEL",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "11151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER",
"identifier": "11151",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "savaseniorcare.com",
"affiliation": "N",
"endpointDescription": "corporate website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "not applicable",
"address_1": "6000 Fayetteville Rd",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277139754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.