MR. DAVID CUSHING TUCKER JR. (NPI# 1306279336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306279336 |
| Entity Type | Individual |
| Full Name | MR. DAVID CUSHING TUCKER JR. |
| Credential | OTR/L |
| Practice Address |
11200 Governor Manly Way Raleigh NC 27614 |
| Mailing Address |
13605 Old Creedmoor Rd Wake Forest NC 27587 |
| Practice Telephone | 9195629410 |
| Mailing Telephone | 9192643391 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 8702 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491024 | David Tucker | In Home Supportive Care | 3214 Capehart Dr, Saint Louis, MO 63121-5321 | 2019-01-14 |
| 1982025565 | David Tucker | Orthopaedic Surgery | 50 Dawn Lane, Airmont, NY 10901 | 2013-12-26 |
| 1174890743 | David B Tucker | Social Worker | 10751 Garfield Ave, Culver City, CA 90230-4112 | 2011-11-25 |
| 1275707176 | David Lawrence Tucker Jr. | Physical Therapist | 4921 Airline Dr, Metairie, LA 70001-5664 | 2008-04-22 |
| 1780854380 | David Neil Tucker | Ophthalmology | 18 Hermit Ln, Westport, CT 06880-1113 | 2008-03-10 |
| 1629084538 | David L Tucker | Chiropractor | 111 14th St Ne, Ste E, Rochester, MN 55906-7058 | 2006-07-31 |
| 1134168677 | David James Tucker | Chiropractor | 121 S Court St, Ottumwa, IA 52501-2519 | 2006-06-06 |
| 1811986953 | David R Tucker | Chiropractor | 402 Middletown Blvd Ste 210, Langhorne, PA 19047-1818 | 2005-10-20 |
| 1467080630 | David Andrew Tucker | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-04-01 |
| 1508325416 | David Tucker | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-03-19 |
| Street Address |
11200 GOVERNOR MANLY WAY |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708263 | Edgar Xavier Correa | Podiatrist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2005-11-22 |
| 1437769080 | Jerrell Parker | Physical Therapy Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2020-08-07 |
| 1255997086 | Kendra Rae Potter | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2019-05-16 |
| 1942719752 | Lisa Susanna Izzi | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-09-25 |
| 1053843664 | Brooke Graves | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-04-02 |
| 1356881528 | John Michael Ablan | Prevention Professional | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-03-07 |
| 1174074769 | Kelsey Leigh Mancini | Specialist/Technologist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2016-10-18 |
| 1124579008 | Taylor Beavers | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-10-17 |
| 1215483540 | Nicole Emilia Renfroe | Student in an Organized Health Care Education/Training Program | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-28 |
| 1649725177 | Chelsea Christine Sorensen | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873037 | Christina Connors | Occupational Therapist | 10101 Ethridge Ct, Raleigh, NC 27615-1152 | 2020-08-25 |
| 1750907069 | Shelby Leanna Caulk | Occupational Therapist | 1001 Hillsborough St Apt 204, Raleigh, NC 27603-1556 | 2020-06-23 |
| 1558991083 | Kosmos LLC | Occupational Therapist | 12100 Peed Rd, Raleigh, NC 27614-9259 | 2020-01-23 |
| 1568018059 | Pt Solutions of North Carolina LLC | Occupational Therapist | 10940 Raven Ridge Rd Ste 110, Raleigh, NC 27614-6611 | 2019-08-12 |
| 1063979300 | Jaime Carlisle Fair | Occupational Therapist | 4834 Crockett Ct, Raleigh, NC 27606-6304 | 2019-02-22 |
| 1275008773 | Cassietta Harris | Occupational Therapist | 2505 Birchford Ct, Raleigh, NC 27604-8416 | 2018-10-10 |
| 1710470596 | Rachel Miller Hatchell | Occupational Therapist | 7401 Rolling Dale Ct, Raleigh, NC 27615-5811 | 2018-06-07 |
| 1518479963 | Kristina Marie Carreira | Occupational Therapist | 3803 Computer Dr Ste 200, Raleigh, NC 27609-6525 | 2017-10-25 |
| 1629589197 | Morgan Sawyer | Occupational Therapist | 319 Chapanoke Road Suite 101, Raleigh, NC 27699-2047 | 2017-10-23 |
| 1962952341 | Maggie Sullivan | Occupational Therapist | 1324 Princess Anne Rd, Raleigh, NC 27607-4750 | 2016-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.