Organization Active NPI

Lolly Therapeutics, LLC

  • Occupational Therapist
  • Mooresville, NC
National Provider Identifier
1164847752
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LOLLY THERAPEUTICS, LLC
Practice address
134 Infield CT
Mooresville, NC 28117-8026
Phone
(704) 799-6824
NPI assigned
Feb 19, 2014
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Lonny Bernath
Title
Ceo
Phone
(704) 258-5148

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

134 Infield CT
Mooresville, NC 28117-8026

Mailing address

134 Infield CT
Mooresville, NC 28117-8026
Phone (704) 799-6824

Other practice location 1

10320 Mallard Creek Rd Ste 150
Charlotte, NC 28262-5200
Phone (704) 799-6824

Other practice location 2

990 Lee Ann Dr NE Ste 2
Concord, NC 28025-2957
Phone (704) 799-6824

Other practice location 3

2102 Cambridge Beltway Dr Ste E
Charlotte, NC 28273-4354
Phone (704) 799-6824

Other practice location 4

19 Rankin Ave Ste 123
Asheville, NC 28801-2978
Phone (704) 799-6824

Other practice location 5

2331 Crownpoint Executive Dr Ste J
Charlotte, NC 28227-7749
Phone (704) 799-6824

Other practice location 6

1880 N Center St
Hickory, NC 28601-1853
Phone (704) 799-6824

Other practice location 7

1420 Plaza Dr
Winston Salem, NC 27103-1470
Phone (704) 799-6824

Other practice location 8

10502 Park Rd Ste 150
Charlotte, NC 28210-8490
Phone (704) 799-6824

Other practice location 9

8530 Cliff Cameron Dr
Charlotte, NC 28269-5906
Phone (704) 799-6824

Other practice location 10

16415 Northcross Dr Ste F
Huntersville, NC 28078-5001
Phone (704) 799-6824

Other practice location 11

280 Charlois Blvd
Winston Salem, NC 27103-1588
Phone (704) 799-6824

Other practice location 12

1121 Old Concord Rd Ste 6
Salisbury, NC 28146-1473
Phone (704) 799-6824

Other practice location 13

1777 Old Earnhardt Rd
Kannapolis, NC 28083-8023
Phone (704) 799-6824

Other practice location 14

529 W Innes St
Salisbury, NC 28144-4278
Phone (704) 799-6824

Other practice location 15

876A Brevard Rd
Asheville, NC 28806-2206
Phone (704) 799-6824

National Provider Directory

National Provider Directory

Locations

19 Rankin Ave
Ste 123
Asheville, NC 28801

876 Brevard Rd
#A
Asheville, NC 28806

10320 Mallard Creek Rd
Ste 150
Charlotte, NC 28262
Phone (704) 547-8438

2102 Cambridge Beltway Dr
Charlotte, NC 28273

2102 Cambridge Beltway Dr
Ste E
Charlotte, NC 28273

2301 Crownpoint Executive Dr
Charlotte, NC 28227
Phone (704) 708-8314

2301 Crownpoint Executive Dr
Ste F
Charlotte, NC 28227
Phone (609) 619-1267

2520 Whitehall Park Dr
Ste 350
Charlotte, NC 28273

8530 Cliff Cameron Dr
Charlotte, NC 28269
Phone (515) 560-6622

990 Lee Ann Dr NE
Ste 2
Concord, NC 28025

16415 Northcross Dr
Ste F
Huntersville, NC 28078
Phone (404) 322-5131

1777 Old Earnhardt Rd
Kannapolis, NC 28083

134 Infield Ct
Mooresville, NC 28117
Phone (980) 444-2730

1121 Old Concord Rd
Ste 6
Salisbury, NC 28146

Practitioners & affiliated clinicians

Practitioners 346

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.

View all 346

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1164847752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INFIELD CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178026",
            "telephone_number": "704-799-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INFIELD CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178026",
            "telephone_number": "704-799-6824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10320 Mallard Creek Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
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            "postal_code": "282625200",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Lee Ann Dr NE Ste 2",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252957",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2102 Cambridge Beltway Dr Ste E",
            "address_purpose": "LOCATION",
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            "postal_code": "282734354",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Rankin Ave Ste 123",
            "address_purpose": "LOCATION",
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            "state": "NC",
            "postal_code": "288012978",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2331 Crownpoint Executive Dr Ste J",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282277749",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 N Center St",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286011853",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031470",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10502 Park Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108490",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8530 Cliff Cameron Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282695906",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16415 Northcross Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785001",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031588",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 Old Concord Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281461473",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Old Earnhardt Rd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280838023",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "529 W Innes St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281444278",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "876A Brevard Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062206",
            "country_code": "US",
            "telephone_number": "704-799-6824",
            "fax_number": "704-799-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOLLY THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "BERNATH",
        "authorized_official_first_name": "LONNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-258-5148"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 7, 2026; 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.