Individual provider Active NPI

Dana Michele Wurm, MS, OTR, CLT

  • Occupational Therapist
  • Lake Wylie, SC
National Provider Identifier
1619130960
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7970 Issued in SC
Practice address
4381 Charlotte Hwy Ste 104
Lake Wylie, SC 29710-7061
Phone
(803) 631-5485
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00472200 NJ
Occupational Therapist 225X00000X 7970 SC Primary

Addresses

Primary practice location

4381 Charlotte Hwy Ste 104
Lake Wylie, SC 29710-7061

Mailing address

4381 Charlotte Hwy Ste 104
Lake Wylie, SC 29710-7061

Other practice location 1

23659 Columbus Rd
Suite 3
Columbus, NJ 08022-1980
Phone (609) 324-1200

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
M & M Physical Therapy LLC PastSince Sep 12, 2011 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1619130960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 CHARLOTTE HWY STE 104",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297107061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 CHARLOTTE HWY STE 104",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297107061",
            "telephone_number": "803-631-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23659 Columbus Rd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NJ",
            "postal_code": "080221980",
            "country_code": "US",
            "telephone_number": "609-324-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WURM",
        "first_name": "DANA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00472200",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.