Active NPI
James F Relyea II, OTR
- Occupational Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8701
- Practice address
- 1402 Hospital Plaza Dr Apt 318
Wilmington, NC 28401 - Phone
- (910) 762-1130
- Fax
- (910) 762-1131
- NPI assigned
- Mar 20, 2007
- Last updated
- Nov 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 007707 | NY | |
| Occupational Therapist | 225X00000X | 8932 | MA | |
| Occupational Therapist | 225X00000X | 8701 | NC | Primary |
Addresses
Primary practice location
1402 Hospital Plaza Dr Apt 318
Wilmington, NC 28401
Mailing address
1402 Hospital Plaza Dr Apt 318
Wilmington, NC 28401-6654
Phone (910) 762-1130
Other practice location 1
3230 Church St
Valatie, NY 12184-2303
Phone (518) 758-6222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007707 | NY | MD | Acupuncturist |
| 8932 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
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.
-
- Physical Therapist
- Durham, NC
- NPI 1104823400
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1750406062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 HOSPITAL PLAZA DR APT 318",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016654",
"telephone_number": "910-762-1130",
"fax_number": "910-762-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 HOSPITAL PLAZA DR APT 318",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-762-1130",
"fax_number": "910-762-1131"
}
],
"practiceLocations": [
{
"address_1": "3230 Church St",
"address_purpose": "LOCATION",
"city": "Valatie",
"state": "NY",
"postal_code": "121842303",
"country_code": "US",
"telephone_number": "518-758-6222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RELYEA",
"first_name": "JAMES",
"middle_name": "F",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "007707",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8932",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.