Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative OT Nc LLC

Organization Physical Rehabilitation Occupational Therapist · NPI 1124764782

Innovative OT Nc LLC is a Physical Rehabilitation Occupational Therapist in Holly Springs, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 Fire Opal Ln
Holly Springs, NC 27540
Phone: (919) 244-8367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X

Record details

NPI number1124764782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Johnson — Owner · (919) 244-8367
Other names Innovative Ot Nc Llc; Innovative Ot Nc, Llc; Innovative Ot Nc, Llc
NPI enumeratedMay 6, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 20, 2022
Mailing address644 Holly Springs Rd Ste 148, Holly Springs, NC 27540-9030