Tadpole Pediatric Therapy Services PLLC
Occupational Therapist, Pediatrics in Charlotte, NC. Organization (NPI-2).
NPI number1457057549
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1457057549
- Entity type
- Organization (NPI-2)
- Legal business name
- Tadpole Pediatric Therapy Services PLLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2023
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | Yes |
Practice location
1309 Morningside DrCharlotte, NC 28205-5326
Phone 704-302-7861
Mailing address
1309 Morningside DrCharlotte, NC 28205-5326
Phone 704-302-7861
Authorized official
Kelly Weynand
Organizer
7043027861
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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