Dogwood Rehab, PLLC

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

Legal business name

DOGWOOD REHAB, PLLC

Practice address

2233 Bonnie Street
Willow Spring, NC 27592

Phone

(919) 614-5054

NPI assigned

Sep 25, 2024

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth K Broughton, MOT, OTR/LNPI 1700064581

Title

Owner, Occupational Therapist

Phone

(919) 614-5054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth K Broughton, MOT, OTR/L

  • Gerontology Occupational Therapist
  • Willow Spring, NC
  • NPI 1700064581
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1164249678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 BONNIE ST",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275924603",
            "telephone_number": "919-614-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 BONNIE STREET",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "27592",
            "telephone_number": "919-614-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "919-614-5054",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Clark
• Commissioned Health PLLC
• Jonathan Cordell, PSYD
• Nicole Diana Coughlin, M.S., CCC-SLP
• Christian Davis, LCSWA, LCAS
• Dr Alan L Byrd and Associates of Angier OD PA (Myeyes Optometry)
• Jennifer Easley, LCSW
• Wanda Nicole Eason-Melvin, LPN
• Pamela Formyduval
• Tegran Osafu Fraites, D.D.S

• Gerontology Occupational Therapist in Willow Spring, NC
• Providers in Willow Spring, NC by specialty
• Gerontology Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.