Active NPI
Michael Richard Duffy, OTRL,CHT
- Occupational Therapist
- Shallotte, NC
National Provider Identifier
1215050869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18680
- Practice address
- 5160 Ocean Hwy W
Shallotte, NC 28470-4012 - Phone
- (910) 332-3800
- Fax
- (910) 251-0421
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 05138 | MD | |
| Occupational Therapist | 225X00000X | 18680 | NC | Primary |
Addresses
Primary practice location
5160 Ocean Hwy W
Shallotte, NC 28470-4012
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800
Other practice location 1
12158 Central Ave
Mitchellville, MD 20721-1932
Phone (301) 430-2706
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 |
|---|---|---|---|
| 05138 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1215050869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 OCEAN HWY W",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704012",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
}
],
"practiceLocations": [
{
"address_1": "12158 Central Ave",
"address_purpose": "LOCATION",
"city": "Mitchellville",
"state": "MD",
"postal_code": "207211932",
"country_code": "US",
"telephone_number": "301-430-2706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFFY",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "OTRL,CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05138",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "18680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.