Healthcare Provider Details

I. General information

NPI: 1588593255
Provider Name (Legal Business Name): TRELLIS OCCUPATIONAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2506 COOKSBURY DR
DURHAM NC
27704-3900
US

IV. Provider business mailing address

2506 COOKSBURY DR
DURHAM NC
27704-3900
US

V. Phone/Fax

Practice location:
  • Phone: 919-627-7883
  • Fax:
Mailing address:
  • Phone: 919-627-7883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEGHAND MASSENGILL
Title or Position: OCCUPATIONAL THERAPIST
Credential: MSOT, OT/L
Phone: 919-627-7883