Mr Timothy Patrick Daugherty, OT | |
1829 East Franklin Street, Bldg. # 600, Chapel Hill, NC 27514 | |
(919) 968-3456 | |
(919) 932-3456 |
Full Name | Mr Timothy Patrick Daugherty |
---|---|
Gender | Male |
Speciality | Occupational Therapist - Pediatrics |
Location | 1829 East Franklin Street, Chapel Hill, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063545424 | NPI | - | NPPES |
7301786 | Medicaid | NC | |
1387G | Other | NC | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4987 (North Carolina) | Primary |
225XP0200X | Occupational Therapist - Pediatrics | 4987 (North Carolina) | Primary |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952069536 PECOS PAC ID: 5193036432 Enrollment ID: O20220126000987 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Patrick Daugherty, OT 1829 East Franklin Street, Bldg. # 600, Chapel Hill, NC 27514 Ph: (919) 968-3456 | Mr Timothy Patrick Daugherty, OT 1829 East Franklin Street, Bldg. # 600, Chapel Hill, NC 27514 Ph: (919) 968-3456 |
Lara Ashley Lee, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Drive, Chapel Hill, NC 27514 Phone: 984-974-5300 Fax: 984-974-5303 | |
Mr. John M. Huff, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1829 E Franklin St, Bldg. # 600, Chapel Hill, NC 27514 Phone: 919-968-3456 Fax: 919-932-3456 | |
Ms. Bethany Grace Blanchard, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Department Of Pt/ot, Chapel Hill, NC 27514 Phone: 919-966-4344 Fax: 919-843-0032 | |
Ms. Robin Renee Johnson, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Department Of Ot/pt, Chapel Hill, NC 27514 Phone: 919-966-3608 | |
Hector Luis Borrero, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19034 Stone Brk, Chapel Hill, NC 27517 Phone: 407-765-3752 | |
Ms. Donna Louise Swahlan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1829 E Franklin St, Bldg. # 600, Chapel Hill, NC 27514 Phone: 919-968-3456 Fax: 919-932-3456 | |
Miss Rachael Schmidt Baker, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Cedar Club Cir, Chapel Hill, NC 27517 Phone: 919-259-7000 |