Stephanie Ann Putkowski Augustus, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11386 Issued in NC

Practice address

102 Hyannis Dr
Holly Springs, NC 27540-8327

Phone

(984) 280-2580

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapy Lab LLC

  • Pediatric Occupational Therapist
  • Holly Springs, NC
  • NPI 1730949009
  NPD Authorized official

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1972065225",
    "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"
        },
        {
            "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": "984-280-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6305 Cardinaux Ln",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275406410",
            "country_code": "US",
            "telephone_number": "718-909-8658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTKOWSKI AUGUSTUS",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Psychiatric Services, PLLC
• Private Diagnostic Clinic, PLLC
• Providence Therapy, PA
• Samuel Puleio, PHARM.D.
• Faith Purdie
• Jennifer A Putt, LCSW
• Jennifer Mary Putzi, LCMHC-A
• Jibran Qayumi, DPT
• Ashley Nicole Raab
• Ashley Taylor Railsback, O.T.

• Occupational Therapist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.