Organization Active NPI

Lymphatic Health Center, PLLC

  • Physical Rehabilitation Occupational Therapist
  • Mooresville, NC
National Provider Identifier
1053783993
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
5670 Issued in NC
Legal business name
LYMPHATIC HEALTH CENTER, PLLC
Practice address
142 S Cardigan Way Ste F
Mooresville, NC 28117-8537
Phone
(704) 664-7303
Fax
(855) 235-4944
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Stephanie Marie KingNPI 1457484040
Title
Occupational Therapist
Phone
(704) 778-1393

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
Physical Rehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0019X 5670 NC Primary

Addresses

Primary practice location

142 S Cardigan Way Ste F
Mooresville, NC 28117-8537

Mailing address

142 S Cardigan Way Ste F
Mooresville, NC 28117-8537
Phone (704) 664-7303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151231000018 NC Part B Supplier - Clinic/Group Practice 9335441724 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Locations

142 S Cardigan Way
Ste F
Mooresville, NC 28117
Phone (704) 664-7303

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": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1053783993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S CARDIGAN WAY STE F",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178537",
            "telephone_number": "704-664-7303",
            "fax_number": "855-235-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S CARDIGAN WAY STE F",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178537",
            "telephone_number": "704-664-7303",
            "fax_number": "855-235-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHATIC HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "704-778-1393"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NC",
            "license": "5670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.