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SCOTILLIA NOEL FOGG OTR/L NPI 1598186843


NPI Information

NPI: 1598186843
Provider Name: SCOTILLIA NOEL FOGG, OTR/L
Classification: Occupational Therapist - 225XN1300X
Entity Type: Individual

Specialization: Neurorehabilitation

Address:
401 IRVING PKWY
HOLLY SPRINGS, NC
ZIP 27540
Phone: (919) 793-3396
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Scotillia Noel Fogg, OTR/L is a neurorehabilitation occupational therapist in Holly Springs, NC. Scotillia Noel Fogg, OTR/L NPI is 1598186843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 IRVING PKWY
HOLLY SPRINGS, NC
ZIP 27540-300
Phone: (919) 793-3396

The enumeration date for this NPI number is 1/3/2014 and was last updated on 12/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational Therapist115635TEXASNo
2225X00000XOccupational Therapist8544NORTH CAROLINANo
3225XH1200XOccupational TherapistHandNo
4225XP0019XOccupational TherapistPhysical Rehabilitation8544NORTH CAROLINANo
5225XN1300XOccupational TherapistNeurorehabilitation8544NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q49100E346OTHERNORTH CAROLINAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.