NPIMap

Organization Active NPI

Lively Therapy Services

  • Occupational Therapist
  • Kannapolis, NC
National Provider Identifier
1134713019
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LIVELY THERAPY SERVICES
Practice address
1401 S Ridge Ave
Kannapolis, NC 28083-6056
Phone
(980) 242-0690
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Megan Priscilla Buckland, OTR/LNPI 1093316770
Title
Owner
Phone
(704) 960-9619

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1401 S Ridge Ave
Kannapolis, NC 28083-6056

Mailing address

PO Box 248
Kannapolis, NC 28082-0248
Phone (980) 242-0690

Other practice location 1

2319 Concord Lake Rd
Concord, NC 28025-2813
Phone (980) 242-0690

Other identifiers 1

IdentifierTypeStateIssuer
13680MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL SimplePractice Direct
Other URL SimplePractice Direct

National Provider Directory

National Provider Directory

Locations

2319 Concord Lake Rd
Concord, NC 28025
Phone (980) 242-0690

1401 S Ridge Ave
Kannapolis, NC 28083
Phone (980) 242-0690

Practitioners & affiliated clinicians

Practitioners 12

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": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1134713019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280820248",
            "telephone_number": "980-242-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RIDGE AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836056",
            "telephone_number": "980-242-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Concord Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252813",
            "country_code": "US",
            "telephone_number": "980-242-0690",
            "fax_number": "980-236-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVELY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "BUCKLAND",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-960-9619",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13680",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "4865 Bentridge Dr NW",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "4865 Bentridge Dr NW",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

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

Verify at the official NPI Registry.