Katelyn Shelton Bruff, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Lexington, NC

NPI 1043150873 · NPPES record last updated Mar 31, 2026

Key facts

NPI
1043150873
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
11935 (NC)
Practice address
250 County School Rd
Lexington, NC 27292-5670
Phone
(336) 249-8182
Fax
(336) 249-1062
NPI assigned
Mar 31, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11935NCMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 11935 NC Yes

Addresses

Primary practice location

250 County School Rd
Lexington, NC 27292-5670

Mailing address

250 County School Rd
Lexington, NC 27292-5670
Phone (336) 249-8182

Other providers in Lexington, NC

All providers in Lexington, NC · Occupational Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.