Active NPI
Kaitlyn Mae Ditmars
- Occupational Therapist
- Ahoskie, NC
National Provider Identifier
1013806678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31008760A
- Practice address
- 500 Academy St S
Ahoskie, NC 27910-3248 - Phone
- (252) 209-3000
- NPI assigned
- Jun 30, 2025
- Last updated
- Jun 30, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17748 | NC | |
| Occupational Therapist | 225X00000X | 31008760A | IN | Primary |
Addresses
Primary practice location
500 Academy St S
Ahoskie, NC 27910-3248
Mailing address
2359 County Road 19
Corunna, IN 46730-9711
Phone (260) 624-5560
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31008760A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1013806678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2359 COUNTY ROAD 19",
"city": "CORUNNA",
"state": "IN",
"postal_code": "467309711",
"telephone_number": "260-624-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ACADEMY ST S",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103248",
"telephone_number": "252-209-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITMARS",
"first_name": "KAITLYN",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17748",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31008760A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ahoskie, NC
- Deeply Rooted Home Care Incorporated
- Deeply Rooted Inc
- Della Reid Deloatch, AAS,CCJP,CSAS
- Felicia D Deloatch, PHARMD
- Direct Medical Transport
- DRS. Brown & Brown, PA
- DST Transportation Services, LLC
- Dva Healthcare Renal Care Inc (Ahoskie Dialysis)
- East Carolina Health (ECU Health Roanoke-Chowan Hospital)
- East Carolina Health (ECU Health Adult Behavioral Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.