OrganizationActive
Lake Norman Muay Thai LLC
NPI 1336946011 · Community/Behavioral Health Agency · Mooresville, NC
Lake Norman Muay Thai LLC is a Community/Behavioral Health Agency organization in Mooresville, NC (NPI 1336946011).
Provider details
- NPI number
- 1336946011
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jennifer Smith, Accountant(704) 502-7405
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 Commons Dr Ste I
Mooresville, NC 28117-9262
Phone: (704) 657-1080
Street-level locationGet directions
Mailing address
207 Hickory Hill Rd
Mooresville, NC 28117-8215
Other names (DBA / former)
- Doing business as
- Lake Hickory Muay Thai LLC
Registry dates
- Enumerated
- 2025-02-28
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Frequently asked questions
- What is Lake Norman Muay Thai LLC's NPI number?
- Lake Norman Muay Thai LLC's National Provider Identifier (NPI) is 1336946011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Norman Muay Thai LLC?
- Lake Norman Muay Thai LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Lake Norman Muay Thai LLC located?
- Lake Norman Muay Thai LLC's practice location on file with NPPES is 107 Commons Dr Ste I, Mooresville, NC 28117-9262.
- What is Lake Norman Muay Thai LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Norman Muay Thai LLC is (704) 657-1080.
- Who is the authorized official for Lake Norman Muay Thai LLC?
- The authorized official listed on Lake Norman Muay Thai LLC's NPPES record is Jennifer Smith, Accountant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Norman Muay Thai LLC's NPI active?
- Yes — Lake Norman Muay Thai LLC's NPI (1336946011) is active in the NPPES registry as of the last update on 2025-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.