Active NPI
Katie Lynn Dietrich, OT
- Occupational Therapist
- Apex, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9599
- Practice address
- 910 W Williams St
Apex, NC 27502-5201 - Phone
- (919) 220-5255
- Fax
- (919) 220-6971
- NPI assigned
- Mar 30, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 007252 | OH | |
| Hand Occupational Therapist | 225XH1200X | 9599 | NC | |
| Occupational Therapist | 225X00000X | 9599 | NC | Primary |
Addresses
Primary practice location
910 W Williams St
Apex, NC 27502-5201
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255
Other practice location 1
3001 Edwards Mill Rd
200
Raleigh, NC 27612-5243
Phone (919) 781-4060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9599 | Other | NC | OT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Ohio State University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Edwards Mill Rd
Suite 200
Raleigh, NC 27612-5243
Phone (919) 863-6856
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9599 | NC | MD | Pharmacist |
| 007252 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Occupational Therapist | Current | Accepting new patients |
Locations
910 W Williams St
Apex, NC 27502
Phone (919) 363-1957
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1235137563
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1487943403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "919-220-5255",
"fax_number": "919-220-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W WILLIAMS ST",
"city": "APEX",
"state": "NC",
"postal_code": "275025201",
"telephone_number": "919-220-5255",
"fax_number": "919-220-6971"
}
],
"practiceLocations": [
{
"address_1": "3001 Edwards Mill Rd",
"address_2": "200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276125243",
"country_code": "US",
"telephone_number": "919-781-4060",
"fax_number": "919-781-5246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIETRICH",
"first_name": "KATIE",
"middle_name": "LYNN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "007252",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NC",
"license": "9599",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "9599",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.