Organization Active NPI

Therapy Lab LLC

  • Pediatric Occupational Therapist
  • Holly Springs, NC
National Provider Identifier
1730949009
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
THERAPY LAB LLC
Practice address
102 Hyannis Dr
Holly Springs, NC 27540-8327
Phone
(718) 909-8658
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Stephanie Putkowski Augustus, OTR/LNPI 1972065225
Title
Owner
Phone
(718) 909-8658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

102 Hyannis Dr
Holly Springs, NC 27540-8327

Mailing address

6305 Cardinaux LN
Holly Springs, NC 27540-6410
Phone (718) 909-8658

National Provider Directory

National Provider Directory

Locations

102 Hyannis Dr
Holly Springs, NC 27540
Phone (718) 909-8658

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1730949009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CARDINAUX LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406410",
            "telephone_number": "718-909-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408327",
            "telephone_number": "718-909-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "PUTKOWSKI AUGUSTUS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-909-8658",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.