Individual provider Active NPI

Camilla Leslie McRae, OTR/L

  • Occupational Therapist
  • Winston Salem, NC
National Provider Identifier
1376611897
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1666 Issued in NC
Practice address
1017 Cross Gate Rd
Winston Salem, NC 27106-6324
Phone
(769) 216-7006
NPI assigned
Dec 1, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 1666 NC Primary

Addresses

Primary practice location

1017 Cross Gate Rd
Winston Salem, NC 27106-6324

Mailing address

1017 Cross Gate Rd
Winston Salem, NC 27106-6324
Phone (769) 216-7006

Other practice location 1

PMB 159, Box 10001
Garapan, Saipan 96950
UM
Phone (913) 205-6417

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

Practice roles

OrganizationSpecialtyStatusNew patients
Propel Pediatric Therapy Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1376611897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CROSS GATE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066324",
            "telephone_number": "769-216-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 CROSS GATE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066324",
            "telephone_number": "769-216-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PMB 159, Box 10001",
            "address_purpose": "LOCATION",
            "city": "Garapan",
            "state": "Saipan",
            "postal_code": "96950",
            "country_code": "UM",
            "telephone_number": "913-205-6417",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "CAMILLA",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.