Individual provider Active NPI

Laura Beatty Jennings Futrell, OTR/L

  • Occupational Therapist
  • Hampstead, NC
National Provider Identifier
1790126514
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9345 Issued in NC
Practice address
119 White Heron Cove Rd
Hampstead, NC 28443-8485
Phone
(910) 239-8599
Fax
(910) 239-8599
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 9345 NC Primary

Addresses

Primary practice location

119 White Heron Cove Rd
Hampstead, NC 28443-8485

Mailing address

119 White Heron Cove Rd
Hampstead, NC 28443-8485
Phone (910) 239-8599

Other practice location 1

647 S East Railroad St
Wallace, NC 28466-2091
Phone (910) 285-9700

Other names 1

  • Miss Laura Beatty Jennings Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923003819 NC Practitioner - Occupational Therapist in Private Practice 9830596428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 White Heron Cove Rd
Hampstead, NC 28443-8485
Phone (910) 239-8599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9345NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Futrell Coastal Roots Occupational Therapist CurrentSince Nov 11, 2025 Accepting new patients
Tidal Therapy Solutions LLC Occupational Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

2761 NC Highway 210 E
Ste G
Hampstead, NC 28443
Phone (775) 481-7908

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1790126514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WHITE HERON COVE RD",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438485",
            "telephone_number": "910-239-8599",
            "fax_number": "910-239-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WHITE HERON COVE RD",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438485",
            "telephone_number": "910-239-8599",
            "fax_number": "910-239-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "647 S East Railroad St",
            "address_purpose": "LOCATION",
            "city": "Wallace",
            "state": "NC",
            "postal_code": "284662091",
            "country_code": "US",
            "telephone_number": "910-285-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUTRELL",
        "first_name": "LAURA",
        "middle_name": "BEATTY JENNINGS",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "JENNINGS",
            "middle_name": "BEATTY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.