SHANNON JO WYATT-NYQUIST OTD, OTR/L
NPI 1962050161
Occupational Therapist in Durham, NC

Active since August 30, 2019Accepts Medicare Assignment
3609 SW DURHAM DR, DURHAM, NC 27707(919) 613-5002 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2022, Nov 16, 2022, Aug 30, 2019 (3 updates tracked since 2019).

About Shannon Jo Wyatt-nyquist Otd, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON JO WYATT-NYQUIST OTD, OTR/L (NPI 1962050161) is an individual occupational therapist in Durham, North Carolina, licensed in North Carolina (12723) and active in the NPI registry since August 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1962050161
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSHANNON JO WYATT-NYQUISTCredential: OTD, OTR/L
Location Address3609 SW DURHAM DRDurham, NC 27707-6507
Mailing Address3609 Sw Durham DrDurham, NC 27707-6507 · (919) 613-5002
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 30, 2019
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1962050161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NC · 12723
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3609 SW DURHAM DR, Durham, NC 27707

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Jo Wyatt-nyquist Otd, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709219181
PECOS Enrollment IDI20191126001892

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
3609 SW DURHAM DR
DURHAM, NC 27707
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3609 SW DURHAM DR
DURHAM, NC 27707
Orthopaedic Surgery
3609 SW DURHAM DR
DURHAM, NC 27707
Physician Assistant
3609 SW DURHAM DR
DURHAM, NC 27707
Physician Assistant (Medical)
3609 SW DURHAM DR
DURHAM, NC 27707
Orthopaedic Surgery (Hand Surgery)
3609 SW DURHAM DR
DURHAM, NC 27707
Orthopaedic Surgery
3609 SW DURHAM DR
DURHAM, NC 27707
Orthopaedic Surgery
3609 SW DURHAM DR
DURHAM, NC 27707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Wyatt-nyquist's NPI number?

The NPI number for Shannon Wyatt-nyquist is 1962050161. It was assigned to this individual provider in the NPPES registry on August 30, 2019.

Where is Shannon Wyatt-nyquist located?

Shannon Wyatt-nyquist practices at 3609 SW Durham Dr, Durham, NC 27707. The listed phone number is (919) 613-5002.

What is Shannon Wyatt-nyquist's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Shannon Wyatt-nyquist enrolled in Medicare?

Yes. Shannon Wyatt-nyquist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Wyatt-nyquist accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Shannon Wyatt-nyquist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Wyatt-nyquist was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.