Active NPI
Lyda S Reese, COTA
- Occupational Therapy Assistant
- Wilkesboro, NC
National Provider Identifier
1013177476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3924
- Practice address
- 1016 Fletcher St
Wilkesboro, NC 28697-9472 - Phone
- (336) 667-1808
- NPI assigned
- Jun 10, 2008
- Last updated
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3924 | NC | Primary |
Addresses
Primary practice location
1016 Fletcher St
Wilkesboro, NC 28697-9472
Mailing address
39 Kerley School LN
Taylorsville, NC 28681-3587
Phone (828) 635-5802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3924 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1013177476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 KERLEY SCHOOL LN",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286813587",
"telephone_number": "828-635-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 FLETCHER ST",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286979472",
"telephone_number": "336-667-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "LYDA",
"middle_name": "S",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "3924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkesboro, NC
- Rainbow Center, Inc. (Rainbow Center Children and Family Services, Inc.)
- Raintree Healthcare of Wilkesboro LLC (Wilkes County Adult Care)
- Morganne Rayo, LCSW, LCAS
- Gary W Reash, PA
- Christine L. Reed, L.P.C.A.
- Juan Reyes, DC
- Rha Health Services NC, LLC
- Rha Health Services NC, LLC
- Virgil Odell Roberson III, M.D.
- Sandra Elizeth Romero Hernandez, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.