Provider Demographics
NPI:1457585879
Name:ENABLING OPPORTUNITIES
Entity Type:Organization
Organization Name:ENABLING OPPORTUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/L- OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:919-923-6067
Mailing Address - Street 1:5012 ROLLING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-9239
Mailing Address - Country:US
Mailing Address - Phone:919-923-6067
Mailing Address - Fax:919-957-0055
Practice Address - Street 1:5012 ROLLING MEADOWS DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9239
Practice Address - Country:US
Practice Address - Phone:919-923-6067
Practice Address - Fax:919-957-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5263225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301882Medicaid