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 provides Physical Rehabilitation Occupational Therapist services 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