Individual provider Active NPI

Joann Jodi Petry, MS OTR

  • Feeding, Eating & Swallowing Occupational Therapist
  • Durham, NC
National Provider Identifier
1750893178
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Feeding, Eating & Swallowing Occupational TherapistTaxonomy code 225XF0002X
License
3779 Issued in NC
Practice address
1821 Hillandale Rd Ste 1B-246
Durham, NC 27705-2659
Phone
(919) 213-0296
Fax
(919) 382-3028
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 3779 NC Primary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 3779 NC

Addresses

Primary practice location

1821 Hillandale Rd Ste 1B-246
Durham, NC 27705-2659

Mailing address

1821 Hillandale Rd Ste 1B-246
Durham, NC 27705-2659
Phone (919) 213-0296

Other practice location 1

910 E Oak Dr
Durham, NC 27705-1879
Phone (919) 949-6034

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

State licenses

LicenseStateTypeSpecialty
3779NCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1750893178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 1B-246",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052659",
            "telephone_number": "919-213-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 1B-246",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052659",
            "telephone_number": "919-213-0296",
            "fax_number": "919-382-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277051879",
            "country_code": "US",
            "telephone_number": "919-949-6034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRY",
        "first_name": "JOANN",
        "middle_name": "JODI",
        "credential": "MS OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NC",
            "license": "3779",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.