Active NPI
Truly Therapeutic Rehab Solutions, PLLC
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1225436264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- TRULY THERAPEUTIC REHAB SOLUTIONS, PLLC
- Practice address
- 10130 Perimeter Pkwy
Suite 200
Charlotte, NC 28216-2447 - Phone
- (919) 793-3396
- Fax
- (704) 602-5212
- NPI assigned
- Dec 8, 2014
- 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
- Scotillia Noel Fogg, OTR/L
- Title
- Owner
- Phone
- (919) 793-3396
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X | 8544 | NC |
Addresses
Primary practice location
10130 Perimeter Pkwy
Suite 200
Charlotte, NC 28216-2447
Mailing address
PO Box 142
Wake Forest, NC 27588-0142
Phone (919) 793-3396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E346 | Other | NC | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
10130 Perimeter Pkwy
Ste 200
Charlotte, NC 28216
Phone (704) 212-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668556800000",
"number": "1225436264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275880142",
"telephone_number": "919-793-3396",
"fax_number": "704-602-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 PERIMETER PKWY",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282162447",
"telephone_number": "919-793-3396",
"fax_number": "704-602-5212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRULY THERAPEUTIC REHAB SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-08",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A",
"authorized_official_last_name": "FOGG",
"authorized_official_first_name": "SCOTILLIA",
"authorized_official_middle_name": "NOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-793-3396",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NC",
"license": "8544",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "E346",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.