Organization Active NPI

Truly Therapeutic Rehab Solutions, PLLC

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1225436264
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Nov 16, 2022

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
E346OtherNCMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.