Active NPI
Judith Eryn Hagan
- Occupational Therapist
- Cary, NC
National Provider Identifier
1932364932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6912
- Practice address
- 110 Corning Rd
Cary, NC 27518-9229 - Phone
- (919) 431-7400
- NPI assigned
- Jul 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6912 | NC | Primary |
Addresses
Primary practice location
110 Corning Rd
Cary, NC 27518-9229
Mailing address
5012 Sunset Walk LN
Holly Springs, NC 27540-7822
Phone (919) 608-0284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6912 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1932364932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 SUNSET WALK LN",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407822",
"telephone_number": "919-608-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CORNING RD",
"city": "CARY",
"state": "NC",
"postal_code": "275189229",
"telephone_number": "919-431-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "JUDITH",
"middle_name": "ERYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-20",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.