Active NPI
Kelly Diane Byford, OTR/L
- Occupational Therapist
- Lillington, NC
National Provider Identifier
1063667988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5010
- Practice address
- 1995 E. Cornelius Harnett Blvd
Legacy Healthcare Services
Lillington, NC 27546 - Phone
- (910) 814-0880
- NPI assigned
- Nov 19, 2008
- Last updated
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 5010 | NC | Primary |
Addresses
Primary practice location
1995 E. Cornelius Harnett Blvd
Legacy Healthcare Services
Lillington, NC 27546
Mailing address
175 Hamilton Rd
Bunnlevel, NC 28323-8409
Phone (910) 893-9100
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 |
|---|---|---|---|
| 5010 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1063667988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 HAMILTON RD",
"city": "BUNNLEVEL",
"state": "NC",
"postal_code": "283238409",
"telephone_number": "910-893-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 E. CORNELIUS HARNETT BLVD",
"address_2": "LEGACY HEALTHCARE SERVICES",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "27546",
"telephone_number": "910-814-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYFORD",
"first_name": "KELLY",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.