OrganizationActive
Innovative OT Nc LLC
NPI 1124764782 · Physical Rehabilitation Occupational Therapist · Holly Springs, NC
Provider details
- NPI number
- 1124764782
- Entity type
- Organization
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Karen Johnson, Owner(919) 244-8367
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
412 Fire Opal Lane
Holly Springs, NC 27540
Phone: (919) 244-8367
Approximate (ZIP-level) locationGet directions
Mailing address
644 Holly Springs Rd Ste 148
Holly Springs, NC 27540-9030
Other names (DBA / former)
- Other name
- Innovative OT Nc LLC
- Other name
- Innovative OT Nc, LLC
- Other name
- Innovative OT Nc, LLC
Registry dates
- Enumerated
- 2022-05-06
- Last updated
- 2022-07-21
- Certified
- 2022-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.