Blythe Ardyson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10352 Issued in NC

Practice address

6220 Mount Hermon Church Rd
Durham, NC 27705-8049

Phone

(919) 641-9410

NPI assigned

Jun 21, 2016

Last updated

Jun 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1215387238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 MOUNT HERMON CHURCH RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277058049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 MOUNT HERMON CHURCH RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277058049",
            "telephone_number": "919-641-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDYSON",
        "first_name": "BLYTHE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Archer
• Aislinn Archibald, CERTIFIED NURSE AIDE
• Andrea Cyr Archibald, M.D.
• Vincent Lindsay Lee Archibald
• Kaveh Ardalan
• Laurie L Arena, MSW, NP, RN
• Gowthami Arepally, MD
• Brianne Arevalo, PSYD
• Sabrina Mariam Arezo, MD
• William Argersinger, DDS

• Occupational Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.