Active NPI
Lymphatic Health Center, PLLC
- Physical Rehabilitation Occupational Therapist
- Mooresville, NC
National Provider Identifier
1053783993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 5670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Marie King
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Occupational Therapist
- Mooresville, NC
- NPI 1457484040
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.