Individual provider Active NPI

Freida Smith Poag, OTR/L

  • Pediatric Occupational Therapist
  • Gastonia, NC
National Provider Identifier
1386792489
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3364 Issued in NC
Practice address
2557 Pembroke Rd
Gastonia, NC 28054-4712
Phone
(704) 747-3788
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3364 NC Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 3364 NC

Addresses

Primary practice location

2557 Pembroke Rd
Gastonia, NC 28054-4712

Mailing address

2557 Pembroke Rd
Gastonia, NC 28054-4712
Phone (980) 320-8275

Other practice location 1

1308 Village Harbor Dr
Clover, SC 29710-9095
Phone (980) 320-8275

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pediatrichandsontherapy.com

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
3364NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Hands on Therapy, PC Pediatrics Current Accepting new patients

Locations

2557 Pembroke Rd
Gastonia, NC 28054
Phone (704) 854-8887

1308 Village Harbor Dr
Clover, SC 29710
Phone (980) 320-8275

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1386792489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "980-320-8275",
            "fax_number": "704-973-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "704-747-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Village Harbor Dr",
            "address_purpose": "LOCATION",
            "city": "Clover",
            "state": "SC",
            "postal_code": "297109095",
            "country_code": "US",
            "telephone_number": "980-320-8275",
            "fax_number": "704-973-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POAG",
        "first_name": "FREIDA",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3364",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NC",
            "license": "3364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pediatrichandsontherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2575 Pembroke Rd",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280544712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.