Healthcare Provider Details

I. General information

NPI: 1497669196
Provider Name (Legal Business Name): SOPHIA HELEN AUSBERGER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOPHIA HELEN STRAW OTR/L

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SCHOOL HOUSE RD
OCRACOKE NC
27960-1395
US

IV. Provider business mailing address

1430 MAIN ST
SWANQUARTER NC
27885-9760
US

V. Phone/Fax

Practice location:
  • Phone: 252-928-3251
  • Fax:
Mailing address:
  • Phone: 252-926-3281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18840
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: