Active NPI
Julia Rose Ryan, OTD
- Pediatric Occupational Therapist
- Raleigh, NC
National Provider Identifier
1306474937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ryan.1462@osu.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16928 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Inspirations PLLC | Current | 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.
-
- Speech-Language Pathologist
- Raleigh, NC
- NPI 1205466323
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.