Active NPI
Emily Dejesus, OTR/L
- Occupational Therapist
- Cary, NC
National Provider Identifier
1063734283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14025
- Practice address
- 110 Corning Rd
Cary, NC 27518-9229 - Phone
- (919) 431-7400
- NPI assigned
- Feb 16, 2010
- Last updated
- Apr 16, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7861 | NC | |
| Occupational Therapist | 225X00000X | 14025 | FL | Primary |
Addresses
Primary practice location
110 Corning Rd
Cary, NC 27518-9229
Mailing address
2957 Wilkes Lake Dr
Fuquay Varina, NC 27526-3948
Phone (919) 801-1211
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 |
|---|---|---|---|
| 14025 | FL | MD | General Practice Dentistry |
| 7861 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1063734283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2957 WILKES LAKE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263948",
"telephone_number": "919-801-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CORNING RD",
"city": "CARY",
"state": "NC",
"postal_code": "275189229",
"telephone_number": "919-431-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJESUS",
"first_name": "EMILY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-16",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7861",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "14025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.