Individual provider Active NPI

Julia Rose Ryan, OTD

  • Pediatric Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1306474937
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
4909 Waters Edge Dr
Raleigh, NC 27606-2462
Phone
(919) 285-1647
Fax
(919) 576-1366
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NC Primary

Addresses

Primary practice location

4909 Waters Edge Dr
Raleigh, NC 27606-2462

Mailing address

2020 W Morehead St Apt 342
Charlotte, NC 28208-5881
Phone (440) 523-9332

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.1462@osu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709003560 NC Practitioner - Occupational Therapist in Private Practice 3173037215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16928NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Inspirations PLLC CurrentSince Jun 24, 2025 Accepting new patients

Locations

4909 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 285-1647

4909 Waters Edge Dr
Raleigh, NC 27606
Phone (919) 285-1647

4909 Waters Edge Dr
Ste 100C
Raleigh, NC 27606

Organizations & group practices 1

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1306474937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W MOREHEAD ST APT 342",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085881",
            "telephone_number": "440-523-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062462",
            "telephone_number": "919-285-1647",
            "fax_number": "919-576-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JULIA",
        "middle_name": "ROSE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.1462@osu.edu",
            "affiliation": "N",
            "address_1": "35 E 12th Ave Apt 1A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432014012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.