Provider Demographics
NPI: | 1124664438 |
---|---|
Name: | ALLURING OCCUPATIONAL THERAPY SERVICES, PLLC |
Entity type: | Organization |
Organization Name: | ALLURING OCCUPATIONAL THERAPY SERVICES, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | APRYL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DAVIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BS, OTA/L |
Authorized Official - Phone: | 704-951-7157 |
Mailing Address - Street 1: | 3020-I PROSPERITY CHURCH RD |
Mailing Address - Street 2: | STE 523 |
Mailing Address - City: | CHARLOTTE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28269 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 704-951-7157 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3020-I PROSPERITY CHURCH RD |
Practice Address - Street 2: | STE 523 |
Practice Address - City: | CHARLOTTE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28269 |
Practice Address - Country: | US |
Practice Address - Phone: | 704-951-7157 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-11-21 |
Last Update Date: | 2019-11-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 224ZE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Environmental Modification | Group - Multi-Specialty |
No | 224ZF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 224ZL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Low Vision | Group - Multi-Specialty |
No | 224ZR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Driving and Community Mobility | Group - Multi-Specialty |
No | 252Y00000X | Agencies | Early Intervention Provider Agency | Group - Multi-Specialty |