Kathleen Dwyer, OTR/L, CHT, CHC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0005285 Issued in OH

Practice address

110 Horizon Dr Ste 310
Raleigh, NC 27615-4926

Phone

(919) 861-2441

NPI assigned

Apr 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Massachusetts LLC

  • Physical Therapist
  • Westborough, MA
  • NPI 1962108761
  NPD

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1659069003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RENAISSANCE CT",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235430",
            "telephone_number": "440-796-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HORIZON DR STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154926",
            "telephone_number": "919-861-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "KATHLEEN",
        "credential": "OTR/L, CHT, CHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT0005285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Julie Duthiers, PH.D.
• Bryan Duttman, MSN, RN, CWOCN
• Kurt Franklyn Duval
• Anand Ghanshyam Dwivedi, MD
• Jeffrey Edward Dwulet, DDS
• Christina Dyck, P.T.A.
• Christina Louise Dyer, RDN, LD
• Deaundre Alfonzo Dyer, DO
• Maria Dyer, FNP-BC
• Nancy Catherine Dyer, RDN, LDN

• Occupational Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.