Individual provider Active NPI

Lauren Dyke, OTR/L

  • Occupational Therapist
  • Carrboro, NC
National Provider Identifier
1558947572
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15988 Issued in NC
Practice address
110 Two Hills Dr
Carrboro, NC 27510-2675
Phone
(919) 338-1490
NPI assigned
Mar 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 15988 NC Primary

Addresses

Primary practice location

110 Two Hills Dr
Carrboro, NC 27510-2675

Mailing address

110 Two Hills Dr
Carrboro, NC 27510-2675
Phone (919) 928-0204

Other names 1

  • Lauren Czarnetzki Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15988NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Center CurrentSince Mar 1, 2021 Accepting new patients
Children'S Therapy Center, Inc Occupational Therapist CurrentSince Sep 7, 2021 Accepting new patients
Emerge-a Child'S Place, PLLC Occupational Therapist PastSince Jul 31, 2023 Accepting new patients
Children'S Therapy Ctr, Inc Pediatrics PastSince Sep 1, 2021 Accepting new patients

Locations

14635 Pennock Ave
Ste 300
Apple Valley, MN 55124
Phone (651) 994-9644

10273 Yellow Circle Dr
Minnetonka, MN 55343
Phone (952) 401-9359

2795 Pilot Knob Rd
Ste 100
Saint Paul, MN 55121
Phone (651) 994-9644

1160 Centre Pointe Dr
Saint Paul, MN 55120
Phone (952) 215-3754

Organizations & group practices 4

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": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1558947572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TWO HILLS DR",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102675",
            "telephone_number": "919-928-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TWO HILLS DR",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102675",
            "telephone_number": "919-338-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKE",
        "first_name": "LAUREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CZARNETZKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.