Individual provider Active NPI

James F Relyea II, OTR

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1750406062
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8701 Issued in NC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
007707NYMDAcupuncturist
8932MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Dec 5, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Dec 5, 2023 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.

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.

Verify at the official NPI Registry.