Organization Active NPI

B3 Therapy, PLLC

  • Rehabilitation Clinic/Center
  • Boone, NC
National Provider Identifier
1043674609
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
0520 Issued in NC
Legal business name
B3 THERAPY, PLLC
Practice address
324 Highway 105 Ext Ste 12
Boone, NC 28607-6242
Phone
(828) 386-1285
Fax
(828) 222-6030
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Lori Wilson Hiatt, OTR/L, CHTNPI 1801879408
Title
Occupational Therapist
Phone
(828) 386-1285

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
Rehabilitation Clinic/Center 261QR0400X 0520 NC Primary

Addresses

Primary practice location

324 Highway 105 Ext Ste 12
Boone, NC 28607-6242

Mailing address

325 Water Falls Rd
Boone, NC 28607-5690
Phone (704) 450-0127

Other identifiers 1

IdentifierTypeStateIssuer
520OtherNCNC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170718002829 NC Part B Supplier - Clinic/Group Practice 7618247040 Receives reassigned benefits from 2 practitioners
Practice locations: Boone, NC

National Provider Directory

National Provider Directory

Locations

240 Highway 105 Ext
Ste 200
Boone, NC 28607
Phone (828) 386-1285

Practitioners & affiliated clinicians

Practitioners 2

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": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1043674609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WATER FALLS RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075690",
            "telephone_number": "704-450-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 HIGHWAY 105 EXT STE 12",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076242",
            "telephone_number": "828-386-1285",
            "fax_number": "828-222-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B3 THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "828-386-1285",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NC",
            "license": "0520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "520",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.