Individual provider Active NPI

Cassidy Lord, OTD, OTR/L, CLVT

  • Low Vision Occupational Therapist
  • Wake Forest, NC
National Provider Identifier
1376431635
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
17719 Issued in NC
Practice address
120 Melksham Rd
Wake Forest, NC 27587-5116
Phone
(919) 600-4058
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapist 225XL0004X 17719 NC Primary

Addresses

Primary practice location

120 Melksham Rd
Wake Forest, NC 27587-5116

Mailing address

120 Melksham Rd
Wake Forest, NC 27587-5116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801000218 NC Practitioner - Occupational Therapist in Private Practice 8123536190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Duke University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Vision Rehab Solutions LLCGroup PAC ID 5496144271, 4 clinicians

Practice addresses (Care Compare)

5109 Influence Way
Raleigh, NC 27616-4345
Phone (919) 239-4805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Low Vision Rehab Solutions, LLC CurrentSince Jun 25, 2025 Accepting new patients

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1376431635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MELKSHAM RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MELKSHAM RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875116",
            "telephone_number": "919-600-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "CASSIDY",
        "credential": "OTD, OTR/L, CLVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "NC",
            "license": "17719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.