Jenna Wynn

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2301 Erwin Rd
Durham, NC 27705-4699

Phone

(919) 681-2030

NPI assigned

May 2, 2022

Last updated

Jan 5, 2026By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Developmental Therapy Associates, Inc.

  • Occupational Therapist
  • Durham, NC
  • NPI 1225146095
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1336884675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FIRST EDITION DR APT 1907",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277030934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-681-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "13211",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Wylie, M.D., PH.D.
• Kristin Vernice Wylie, MSPT
• Kimberly Michelle Wyman, NP
• Andrew Wynkoop
• Leigh Wynkoop, PA-C
• Kimberly Ann Wynns, M.ED., CCC/SLP
• Jeffrey J. Wysocki, PH.D.
• Ann Rose Xavier, LCSW-A
• Sonia Elizabeth Xavier, NP
• Aline Xayasouk

• 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 Jan 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.

Verify at the official NPI Registry.