| Regent Llc | |
|
4469 Veranda Lake Ct, Greensboro, NC 27409-9243 | |
| (336) 662-3737 | |
| (336) 663-0249 |
| Full Name | Regent Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 4469 Veranda Lake Ct, Greensboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700287695 | NPI | - | NPPES |
| 1700287695 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 7972 (North Carolina) | Primary |
| Provider Name | Thomas Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336402064 PECOS PAC ID: 6507189545 Enrollment ID: I20141227000048 |
| Provider Name | Mike Colegrove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871855825 PECOS PAC ID: 9133538994 Enrollment ID: I20210506001924 |
| Provider Name | Rebeccah Leavitt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982065512 PECOS PAC ID: 1850781576 Enrollment ID: I20211210001783 |
| Provider Name | Kimberly Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053071134 PECOS PAC ID: 2062804578 Enrollment ID: I20220113000358 |
| Provider Name | Vitaly Belevitch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538438163 PECOS PAC ID: 3274761457 Enrollment ID: I20220520001129 |
| Provider Name | Jane Hester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215694179 PECOS PAC ID: 4587041926 Enrollment ID: I20220524002265 |
| Provider Name | Robert Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710966106 PECOS PAC ID: 8628049947 Enrollment ID: I20230807003881 |
| Mailing Address | Practice Location Address |
|---|---|
| Regent Llc 4469 Veranda Lake Ct, Greensboro, NC 27409-9243 Ph: (336) 662-3737 | Regent Llc 4469 Veranda Lake Ct, Greensboro, NC 27409-9243 Ph: (336) 662-3737 |
Olivia Lickwar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3907a W Market St, Greensboro, NC 27407 Phone: 336-279-9008 Fax: 336-740-9099 | |
Joshua Caleb Clapper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Northline Ave Ste 160, Greensboro, NC 27408 Phone: 336-545-5000 Fax: 336-545-5020 | |
Mrs. Barri Ann Maxwell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Dundas Cir Ste B, Greensboro, NC 27407 Phone: 336-294-3338 Fax: 336-294-6696 | |
Mrs. Nancy Elizabeth Johnson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Spring Garden St, Greensboro, NC 27403 Phone: 336-294-3338 Fax: 336-294-6696 | |
Leila Early, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Meadowood St, Apartment 232, Greensboro, NC 27409 Phone: 336-285-5068 | |
Janice Miller Leopold, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 N Church St, Ste 201, Greensboro, NC 27401 Phone: 336-375-4263 Fax: 336-275-2286 | |
Sharon A. Faust, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Benjamin Pkwy, Greensboro, NC 27408 Phone: 336-545-5000 Fax: 336-545-3566 |