Healthcare Provider Details

I. General information

NPI: 1174447858
Provider Name (Legal Business Name): JOSIE ANNA THOMAS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 TRAFALGAR PL
MATTHEWS NC
28105-2674
US

IV. Provider business mailing address

355 TRAFALGAR PL
MATTHEWS NC
28105-2674
US

V. Phone/Fax

Practice location:
  • Phone: 501-593-5539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18537
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: