MEDICARE: MRS. KATHERINE JONES MCLAUGHLIN MS, OTR

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	225XP0200X	Pediatric Occupational Therapist	5592	NC
2	225X00000X	Occupational Therapist	5592	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	138EK	OTHER	NC	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1992854301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE JONES MCLAUGHLIN MS, OTR

Provider Business Mailing Address
First Line	:	104 HEATHMERE CT
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-9079
Country	:	US
Telephone Number	:	919-260-8719
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 SALEM TOWNE CT
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-2311
Country	:	US
Telephone Number	:	919-260-8719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	03/18/2025

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