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Southern Piedmont Pediatric Therapy, LLC

NPI 1144031121ActiveOrganization· Occupational Therapist· Matthews, NC

Occupational Therapist in Matthews, North Carolina, registered in NPPES in January 2025. The authorized official on file is Garret Tommasulo, Member/Manager.

Overview

NPI1144031121
StatusActive
Entity typeOrganization
NPI issuedJan 17, 2025
Last updated in NPPESJan 17, 2025
Certified by providerJan 16, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Occupational Therapist providers in Matthews

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