Healthcare Provider Details

I. General information

NPI: 1730229188
Provider Name (Legal Business Name): EMERGE-A CHILD'S PLACE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 UNIVERSITY DR
DURHAM NC
27707-2517
US

IV. Provider business mailing address

3905 UNIVERSITY DRIVE
DURHAM NC
27707-2517
US

V. Phone/Fax

Practice location:
  • Phone: 919-928-0204
  • Fax: 919-928-9423
Mailing address:
  • Phone: 919-928-0204
  • Fax: 919-928-9423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ROBBI BRITTNI MATTOCKS WINSLOW
Title or Position: EXECUTIVE DIRECTOR/OWNER
Credential: MS, OTR/L
Phone: 919-246-0590