Healthcare Provider Details

I. General information

NPI: 1992854301
Provider Name (Legal Business Name): KATHERINE JONES MCLAUGHLIN MS, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE GWYNNE JONES MS, OTR

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 SALEM TOWNE CT
APEX NC
27502-2311
US

IV. Provider business mailing address

104 HEATHMERE CT
CARY NC
27518-9079
US

V. Phone/Fax

Practice location:
  • Phone: 919-260-8719
  • Fax:
Mailing address:
  • Phone: 919-260-8719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5592
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5592
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier138EK
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerBLUE CROSS BLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: