Individual provider Active NPI

Miriam L. Reid, OTR/L, LMBT

  • Occupational Therapist
  • Cary, NC
National Provider Identifier
1649479122
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1230 Issued in NC
Practice address
216 E Chatham St
Suite 110
Cary, NC 27511-3495
Phone
(919) 466-9494
Fax
(919) 557-3887
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1245 NC
Occupational Therapist 225X00000X 1230 NC Primary

Addresses

Primary practice location

216 E Chatham St
Suite 110
Cary, NC 27511-3495

Mailing address

216 E Chatham St
Suite 110
Cary, NC 27511-3495
Phone (919) 466-9494

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
1245NCMDMarriage & Family Therapist
1230NCMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1649479122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E CHATHAM ST",
            "address_2": "SUITE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113495",
            "telephone_number": "919-466-9494",
            "fax_number": "919-557-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E CHATHAM ST",
            "address_2": "SUITE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113495",
            "telephone_number": "919-466-9494",
            "fax_number": "919-557-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MIRIAM",
        "middle_name": "L.",
        "credential": "OTR/L, LMBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "1245",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.