PRIME OCCUPATIONAL THERAPY PLLC NPI 1780036988

NPI Information

  • NPI: 1780036988
  • Provider Name: PRIME OCCUPATIONAL THERAPY PLLC
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Organization
  • Address: 1004 PEONY CT
    KNIGHTDALE, NC
    ZIP 27545
  • Phone: (919) 539-8661

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NPI Details

PRIME OCCUPATIONAL THERAPY PLLC is a residential treatment facility physical disabilities in Knightdale, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. PRIME OCCUPATIONAL THERAPY PLLC NPI is 1780036988. The provider is registered as an organization entity type.

The provider's business location address is:

1004 PEONY CT
KNIGHTDALE, NC
ZIP 27545-051
Phone: (919) 539-8661
Fax: (919) 373-9564

The provider's authorized official is Mahtsente Worku Ebron .
The authorized official title is Occupational Therapist and has the following contact phone number (919) 539-8661.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 7/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical Disabilities4262NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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