Healthcare Provider Details

I. General information

NPI: 1891835666
Provider Name (Legal Business Name): OT4KIDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 E CENTER ST
LEXINGTON NC
27292-4433
US

IV. Provider business mailing address

1106 E CENTER ST
LEXINGTON NC
27292-4433
US

V. Phone/Fax

Practice location:
  • Phone: 336-236-6546
  • Fax: 336-236-9546
Mailing address:
  • Phone: 336-236-6546
  • Fax: 336-236-9546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number1664
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0149
License Number StateNC

VIII. Authorized Official

Name: CAROL F POWELL
Title or Position: PRESIDENT
Credential: OTRL
Phone: 336-236-6546