Individual provider Active NPI

Cary Eddy, OTR/L

  • Occupational Therapist
  • Graham, NC
National Provider Identifier
1558538405
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4251 Issued in NC
Practice address
779 Woody Dr
Graham, NC 27253-3812
Phone
(336) 228-9562
NPI assigned
May 9, 2008
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 4251 NC Primary

Addresses

Primary practice location

779 Woody Dr
Graham, NC 27253-3812

Mailing address

779 Woody Dr
Graham, NC 27253-3812
Phone (336) 228-9562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114003575 NC Practitioner - Occupational Therapist in Private Practice 8527415496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Rehab, LLCGroup PAC ID 2062814106, 15 clinicians

Practice addresses (Care Compare)

3420 Wake Forest Hwy
Durham, NC 27703-3522
Phone (919) 823-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4251NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Rehab, LLC Occupational Therapist CurrentSince Oct 1, 2023 Accepting new patients
Honey's Assisted Living, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

3420 Wake Forest Rd
Durham, NC 27703
Phone (772) 618-0605

Organizations & group practices 2

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1558538405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 WOODY DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533812",
            "telephone_number": "336-228-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 WOODY DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533812",
            "telephone_number": "336-228-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "CARY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.