Individual Healthcare Provider
Emil Peter Occhiboi, PA-C, ATC
Provider's NPPES record last updated: January 6, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003206434
- Primary Specialty
- Physician Assistant
- Practice Location
- Charlotte, North Carolina
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:02 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X Specialist/Technologist
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Taxonomy code 2255A2300XPhysician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (North Carolina)
- 0010-08548
- Specialist/Technologist (Connecticut)
- 000907
- Physician Assistant (Connecticut)
- 23.004688
Practice Locations
Practice Location
4741 Randolph Rd Ste 100&200
Charlotte, North Carolina 28211-2919
Phone: (704) 365-6730
Additional Practice Location
326 Washington Street
William W Backus Hospital
Norwich, Connecticut 06360-2740
Phone: (860) 889-8331
Additional Practice Location
11 Industrial Park Road
Niantic, Connecticut 06357
Phone: (860) 889-7345
Additional Practice Location
200 Hawthorne Ln
Charlotte, North Carolina 28204-2515
Phone: (704) 384-5416
Additional Practice Location
82 New Park Ave
North Franklin, Connecticut 06254-1807
Phone: (860) 889-7345
Record Information
- Enumeration Date
- January 22, 2015
- Provider's NPPES Record Last Updated
- January 6, 2025
- Certification Date
- December 12, 2024
- NPISignal NPPES Dataset
- August 2026
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