Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyqwisha Mackins, OTL

Individual provider Occupational Therapist · NPI 1346013794

Tyqwisha Mackins, OTL is an Occupational Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
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Practice location Address checks out

1500 Sawmill Rd
Raleigh, NC 27615-4320
Phone: (910) 891-1599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16393 (NC)

Record details

NPI number1346013794
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTL
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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