Active NPI
Light Minded OT PLLC
- Occupational Therapist
- Raleigh, NC
National Provider Identifier
1538041124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- LIGHT MINDED OT PLLC
- Practice address
- 3101 Summit CV Apt 207
Raleigh, NC 27613-3980 - Phone
- (919) 802-5805
- NPI assigned
- Jul 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peyton Gemmell, OTR/L
- Title
- Occupational Therapist, Owner
- Phone
- (919) 802-5805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
3101 Summit CV Apt 207
Raleigh, NC 27613-3980
Mailing address
3101 Summit CV Apt 207
Raleigh, NC 27613-3980
Phone (919) 802-5805
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Raleigh, NC
- NPI 1558243147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1538041124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 SUMMIT CV APT 207",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276133980",
"telephone_number": "919-802-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SUMMIT CV APT 207",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276133980",
"telephone_number": "919-802-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHT MINDED OT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "GEMMELL",
"authorized_official_first_name": "PEYTON",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
"authorized_official_telephone_number": "919-802-5805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.