Individual provider Active NPI

Kaitlin Roberts, OTR/L

  • Occupational Therapist
  • Cullman, AL
National Provider Identifier
1073017919
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4624 Issued in AL
Practice address
1640 2ND Ave SW
Cullman, AL 35055
Phone
(256) 841-5185
NPI assigned
Mar 23, 2018
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4624 AL Primary

Addresses

Primary practice location

1640 2ND Ave SW
Cullman, AL 35055

Mailing address

7470 County Road 437
Cullman, AL 35057-3325
Phone (256) 736-3056

Other practice location 1

315 6th St S
Oneonta, AL 35121-1828
Phone (205) 274-2244

Other practice location 2

1640 2nd Ave SW
Cullman, AL 35055
Phone (256) 841-5185

Other practice location 3

7470 County Road 437
Cullman, AL 35057-3325
Phone (256) 615-1856

Other names 1

  • Miss Kaitlin Jones Former name

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

LicenseStateTypeSpecialty
4624ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Shining Light Pediatric Therapy Services, LLC CurrentSince May 25, 2025 Accepting new patients
Theraplay Pediatric Sensory Gym Occupational Therapist CurrentSince Oct 13, 2019 Accepting new patients
Alabama Pediatric Therapy Services, LLC Occupational Therapist Past Accepting new patients

Locations

1640 2nd Ave SW
Cullman, AL 35055
Phone (256) 727-2178

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1073017919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 COUNTY ROAD 437",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350573325",
            "telephone_number": "256-736-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 2ND AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-841-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 6th St S",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "AL",
            "postal_code": "351211828",
            "country_code": "US",
            "telephone_number": "205-274-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 2nd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "35055",
            "country_code": "US",
            "telephone_number": "256-841-5185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7470 County Road 437",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350573325",
            "country_code": "US",
            "telephone_number": "256-615-1856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KAITLIN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "JONES",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.