Mary S Nixon, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9417 Issued in NC

Practice address

4201 Lake Boone TRL
Ste 4
Raleigh, NC 27607-7512

Phone

(919) 781-4434

Fax

(919) 781-5851

NPI assigned

Nov 13, 2014

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

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.

• Children's Innovative Therapy

  • Speech-Language Pathologist
  • Angler, NC
  • NPI 1750404059
  NPD (past)
• Pediatric Therapy Associates

  • Physical Therapist
  • Raleigh, NC
  • NPI 1447310958

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1912303371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 BITTER MELON DR",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-275-9675",
            "fax_number": "919-400-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL",
            "address_2": "STE 4",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077512",
            "telephone_number": "919-781-4434",
            "fax_number": "919-781-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Nissao, MD
• Jennifer Nitkin
• Evan Nix, MD
• Obsession Nix
• Jayne Nixon, MSW, LCAS-A
• Sarah Nixon
• Grace Peace Niyonkuru
• NJ Consultants, LLC
• Anne Njapa, PHARMD
• Mary Wanjiku Njaramba, M.A.C.O., L.P.C, NCC

• 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 May 15, 2026; 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.