Active NPI
Timothy Patrick Daugherty, OT
- Occupational Therapist
- Chapel Hill, NC
National Provider Identifier
1063545424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4987
- Practice address
- 1829 East Franklin Street
BLDG. # 600
Chapel Hill, NC 27514 - Phone
- (919) 968-3456
- Fax
- (919) 932-3456
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4987 | NC | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 4987 | NC |
Addresses
Primary practice location
1829 East Franklin Street
BLDG. # 600
Chapel Hill, NC 27514
Mailing address
1829 East Franklin Street
BLDG. # 600
Chapel Hill, NC 27514
Phone (919) 968-3456
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301786 | Medicaid | NC | |
| 1387G | Other | NC | BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4987 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehabilitation Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Chapel Hill, NC
- NPI 1760477715
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1063545424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 EAST FRANKLIN STREET",
"address_2": "BLDG. # 600",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27514",
"telephone_number": "919-968-3456",
"fax_number": "919-932-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 EAST FRANKLIN STREET",
"address_2": "BLDG. # 600",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27514",
"telephone_number": "919-968-3456",
"fax_number": "919-932-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "TIMOTHY",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "4987",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "4987",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301786",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1387G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.