Individual provider Active NPI

Taylor Roseto

  • Occupational Therapist
  • Southern Pines, NC
National Provider Identifier
1326690553
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12682 Issued in NC
Practice address
1271 Old US 1 Hwy Unit B
Southern Pines, NC 28387-6308
Phone
(910) 310-9479
Fax
(910) 500-5173
NPI assigned
Jul 9, 2019
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12682 NC Primary

Addresses

Primary practice location

1271 Old US 1 Hwy Unit B
Southern Pines, NC 28387-6308

Mailing address

1271 Old US 1 Hwy Unit B
Southern Pines, NC 28387-6308
Phone (910) 310-9479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12682NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nourished Roots Therapy Services Occupational Therapist CurrentSince Nov 3, 2024 Accepting new patients
Dymond Speech & Rehab., P.a. Occupational Therapist Past Accepting new patients

Locations

1271 Old US 1 Hwy
Unit B
Southern Pines, NC 28387
Phone (910) 310-9479

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1326690553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 OLD US 1 HWY UNIT B",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876308",
            "telephone_number": "910-310-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 OLD US 1 HWY UNIT B",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876308",
            "telephone_number": "910-310-9479",
            "fax_number": "910-500-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSETO",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.