Individual provider Active NPI

Peyton Nance Wilson, MOT, OTR/L

  • Occupational Therapist
  • Kannapolis, NC
National Provider Identifier
1407673577
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17199 Issued in NC
Practice address
2036 Quill CT
Kannapolis, NC 28083-6298
Phone
(704) 360-3900
Fax
(704) 360-3900
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 17199 NC Primary

Addresses

Primary practice location

2036 Quill CT
Kannapolis, NC 28083-6298

Mailing address

PO Box 8209
Landis, NC 28088-8209
Phone (704) 360-3900

Other practice location 1

27 W 3rd St
Lexington, NC 27292-3470
Phone (704) 360-3900

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

State licenses

LicenseStateTypeSpecialty
17199NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
5 Stone Therapy, LLC Occupational Therapist CurrentSince Sep 23, 2024 Accepting new patients

Locations

27 W 3rd St
Lexington, NC 27292
Phone (704) 360-3900

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1407673577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8209",
            "city": "LANDIS",
            "state": "NC",
            "postal_code": "280888209",
            "telephone_number": "704-360-3900",
            "fax_number": "704-360-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 QUILL CT",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836298",
            "telephone_number": "704-360-3900",
            "fax_number": "704-360-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272923470",
            "country_code": "US",
            "telephone_number": "704-360-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PEYTON",
        "middle_name": "NANCE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.