Individual provider Active NPI

Carolyn Smith Royster, OTR/L

  • Occupational Therapist
  • Oxford, NC
National Provider Identifier
1245420454
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6189 Issued in NC
Practice address
500 Prospect Ave
Oxford, NC 27565-2543
Phone
(919) 692-1005
Fax
(919) 692-1005
NPI assigned
Jul 25, 2007
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6189 NC Primary

Addresses

Primary practice location

500 Prospect Ave
Oxford, NC 27565-2543

Mailing address

500 Prospect Ave
Oxford, NC 27565-2543
Phone (919) 692-1005

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

LicenseStateTypeSpecialty
6189NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1245420454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PROSPECT AVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652543",
            "telephone_number": "919-692-1005",
            "fax_number": "919-692-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PROSPECT AVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652543",
            "telephone_number": "919-692-1005",
            "fax_number": "919-692-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH ROYSTER",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.