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

Raleigh OT LLC

Organization Occupational Therapist · NPI 1538052410

Raleigh OT LLC is an Occupational Therapist in Raleigh, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
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

4912 Sweet Shade Trl
Raleigh, NC 27616-4652
Phone: (801) 739-3787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Ergonomics Occupational Therapist Taxonomy 225XE1200X
Gerontology Occupational Therapist Taxonomy 225XG0600X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1538052410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Hawkins — Owner · (801) 739-3787
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address4912 Sweet Shade Trl, Raleigh, NC 27616-4652

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