Healthcare Provider Details

I. General information

NPI: 1891610978
Provider Name (Legal Business Name): OAK AND LILY PHYSICAL THERAPY AND WELLNESS COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 349
RALEIGH NC
27609-0010
US

IV. Provider business mailing address

1613 CASCADE FALLS LN 1613 CASCADE FALLS LN
WENDELL NC
27591-6879
US

V. Phone/Fax

Practice location:
  • Phone: 919-413-8746
  • Fax:
Mailing address:
  • Phone: 919-413-8746
  • Fax: 919-413-8746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURIE KING SLAUGHTER
Title or Position: PHYSICAL THERAPIST
Credential: PT, MPT, NTMTC
Phone: 919-413-8746