MEDICARE: SELF CARE THERAPY INCORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	225X00000X	Occupational Therapist	4588	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558319251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELF CARE THERAPY INCORPORATION

Provider Business Mailing Address
First Line	:	6626 GORDON RD STE H
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-8424
Country	:	US
Telephone Number	:	910-233-0730
Fax Number	:

Provider Business Practice Location Address
First Line	:	6626 GORDON RD
Second Line	:	SUITE H
City	:	WILMINGTON
State	:	NC
Zip	:	28411-8423
Country	:	US
Telephone Number	:	910-233-0730
Fax Number	:

Authorized Official
Title or Position	:	OWNER / OCCUPATIONAL THERAPIST
Name	:	ROBERT P W ERKSTAM
Credential	:	OTR
Telephone Number	:	910-233-0730

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	06/01/2026

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Directions to “SELF CARE THERAPY INCORPORATION ” Practice Location

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