Organization Active NPI

Futrell Coastal Roots

Doing business as Salt and Shore Therapy Group

  • Occupational Therapist
  • Hampstead, NC
National Provider Identifier
1033003421
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FUTRELL COASTAL ROOTS
Doing business as
Salt and Shore Therapy Group
Practice address
119 White Heron Cove Rd
Hampstead, NC 28443-8485
Phone
(910) 290-1534
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura FutrellNPI 1790126514
Title
Owner
Phone
(910) 239-8599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

119 White Heron Cove Rd
Hampstead, NC 28443-8485

Mailing address

119 White Heron Cove Rd
Hampstead, NC 28443-8485
Phone (910) 239-8599

Other names 1

  • Salt and Shore Therapy Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260204003642 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537648100 Receives reassigned benefits from 1 practitioner
Practice locations: Hampstead, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1033003421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WHITE HERON COVE RD",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438485",
            "telephone_number": "910-239-8599",
            "fax_number": "910-239-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WHITE HERON COVE RD",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438485",
            "telephone_number": "910-290-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTRELL COASTAL ROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "FUTRELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-239-8599"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt and Shore Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salt and Shore Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.