Healthcare Provider Details

I. General information

NPI: 1740109131
Provider Name (Legal Business Name): RILEY CARPENTER OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6590 TRYON RD
CARY NC
27518-7052
US

IV. Provider business mailing address

33072 SUMMER CROP LN
APEX NC
27502-7310
US

V. Phone/Fax

Practice location:
  • Phone: 919-851-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18597
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: