Active NPI
Kelsey Marie Graber
- Occupational Therapist
- Fayetteville, NC
National Provider Identifier
1003663519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15355
- Practice address
- 2135 Valleygate Dr Ste 101
Fayetteville, NC 28304-3751 - Phone
- (910) 299-0700
- Fax
- (910) 299-0800
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15355 | NC | Primary |
Addresses
Primary practice location
2135 Valleygate Dr Ste 101
Fayetteville, NC 28304-3751
Mailing address
PO Box 1414
Clinton, NC 28329-1414
Phone (910) 299-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech and Language Rehabilitation Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Clinton, NC
- NPI 1891858692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1003663519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1414",
"city": "CLINTON",
"state": "NC",
"postal_code": "283291414",
"telephone_number": "910-299-0700",
"fax_number": "910-299-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 VALLEYGATE DR STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043751",
"telephone_number": "910-299-0700",
"fax_number": "910-299-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABER",
"first_name": "KELSEY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.