Individual provider Active NPI

Brittany Lyalls Self, OT

  • Occupational Therapist
  • Lenoir, NC
National Provider Identifier
1205284486
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
123428 Issued in TX
Practice address
214 Ridge St NW
Lenoir, NC 28645-5227
Phone
(828) 394-5084
Fax
(828) 757-0002
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10774 NC
Occupational Therapist 225X00000X 123428 TX Primary

Addresses

Primary practice location

214 Ridge St NW
Lenoir, NC 28645-5227

Mailing address

214 Ridge St NW
Lenoir, NC 28645-5227
Phone (828) 394-5084

Other names 1

  • Brittany Morgan Lyalls Former name

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

LicenseStateTypeSpecialty
123428TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Speech Source, LLC Past Accepting new patients
Appalachian Speech Pathology Associates, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1205284486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RIDGE ST NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455227",
            "telephone_number": "828-394-5084",
            "fax_number": "828-757-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 RIDGE ST NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455227",
            "telephone_number": "828-394-5084",
            "fax_number": "828-757-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "BRITTANY",
        "middle_name": "LYALLS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10774",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "LYALLS",
            "middle_name": "MORGAN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.