Provider Demographics
NPI:1891748778
Name:DISCHIAVI, JAMES G (OT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:DISCHIAVI
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:348 GRACE CORPENING DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-5864
Mailing Address - Country:US
Mailing Address - Phone:828-580-6821
Mailing Address - Fax:828-580-6822
Practice Address - Street 1:348 GRACE CORPENING DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752
Practice Address - Country:US
Practice Address - Phone:828-580-6821
Practice Address - Fax:828-580-6822
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2132225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1389FOtherBCBS
NC1891748778Medicaid