Southern Oaks Therapy Clinic LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHERN OAKS THERAPY CLINIC LLC

Practice address

2432 Village of Wakefield Dr
Zebulon, NC 27597-7335

Phone

(919) 289-9123

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By 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

Brooke Patram Houston, DPT

Title

Owner

Phone

(919) 289-9123

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1235968132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 VILLAGE OF WAKEFIELD DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275977335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 VILLAGE OF WAKEFIELD DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275977335",
            "telephone_number": "919-289-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OAKS THERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "PATRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-289-9123",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keosha Smith, CMSRN, CPPS, CDP
• Nancy Johnson Smith, LCSW
• Saletha Sharon Smoot-Richardson
• Melissa Snell, MS, CCC-SLP
• Society Transport
• Jeannie Sparks, AGPCNP-BC
• Lauren Springer
• Madison Elizabeth Sprinkle
• Stepping Stones Community Resources, Inc
• Jeffrey Strand, OD

• Physical Therapist in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.