Individual provider Active NPI

Cheryl Collins Tyndall, OT

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1770705113
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1480 Issued in NC
Practice address
4610 Holly Tree Rd
Wilmington, NC 28409-8556
Phone
(910) 859-8296
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1480 NC Primary

Addresses

Primary practice location

4610 Holly Tree Rd
Wilmington, NC 28409-8556

Mailing address

6448 Sentry Oaks Dr
Wilmington, NC 28409-4545
Phone (910) 470-7835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228001149 NC Practitioner - Occupational Therapist in Private Practice 0547610883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
At Home Therapy Franchising LLCGroup PAC ID 8527489582, 17 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

530 Causeway Dr
Suite B6
Wrightsville Beach, NC 28480-1954
Phone (910) 509-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1480NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Dec 5, 2023 Accepting new patients
At Home Therapy of Wilmington, Inc. Occupational Therapist CurrentSince Feb 16, 2026 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Dec 5, 2023 Accepting new patients
At Home Therapy Franchising, LLC Occupational Therapist CurrentSince Feb 16, 2026 Accepting new patients

Locations

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1770705113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 SENTRY OAKS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094545",
            "telephone_number": "910-470-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 HOLLY TREE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284098556",
            "telephone_number": "910-859-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "CHERYL",
        "middle_name": "COLLINS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1480",
            "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 Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.