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Active NPI 1467963785 Individual Practitioner Female Practitioner

Penelope Noell Fuller , COTA

Occupational Therapy Assistant • Durham, NC

Professional Overview & Biography Verified Profile Summary

Penelope Fuller, COTA is a registered healthcare professional specializing in Occupational Therapy Assistant in Durham, NC. Practice services are available at 3420 HOLLOWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3420 Holloway St

Durham, NC 277033522

Telephone 9195969464
Associated Practice Facility / Clinic
🏢 Durham Ridge Assisted Living Facility NPI 1578600680

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Durham, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Durham, NC (1384 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License NC 11161

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Jennifer Cody , COTA

Occupational Therapy Assistant

NPI 1003573759

Certified Occupational Therapy Assistant

Rucha Shah

Physical Therapist

NPI 1265974075
Krisstina Clair Davis

Occupational Therapy Assistant

NPI 1366024671
Susan Johnson , PTA

Physical Therapy Assistant

NPI 1417152109

Physical Therapist Assistant

Aireen Dela Pena , PT

Physical Therapist

NPI 1508258872

Physical Therapist

Jamal Green

Physical Therapy Assistant

NPI 1598543068

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2017

Registered at 3420 HOLLOWAY ST, DURHAM, NC 277033522 (Tel: 9195969464)

📍
Updated Business Mailing Address October 12, 2017

Registered at 4308 ABBEY PL, DURHAM, NC 277075601 (Tel: 9199713194)

👤
Provider Name / Credentials Updated October 12, 2017

Recorded as PENELOPE FULLER, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2017

Occupational Therapy Assistant (License #11161 in NC)

🟢
Initial NPI Registration & Enumeration October 12, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467963785
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2017
Last Update: October 12, 2017
Sole Proprietor: No

Mailing Address

4308 Abbey Pl

Durham, NC 277075601

Phone: 9199713194

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.