Active NPI
Kali F Vanderpool, OTR/L
- Occupational Therapist
- Suffolk, VA
National Provider Identifier
1083170781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010433
- Practice address
- 7025 Harbour View Blvd Ste 108B
Suffolk, VA 23435-2764 - Phone
- (757) 974-8282
- NPI assigned
- Feb 18, 2019
- 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 | 0119010433 | VA | Primary |
| Occupational Therapist | 225X00000X | 12343 | NC |
Addresses
Primary practice location
7025 Harbour View Blvd Ste 108B
Suffolk, VA 23435-2764
Mailing address
206 Wynbrookee LN
Jacksonville, NC 28546-8682
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119010433 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage OT Inc. | Occupational Therapist | Current | Accepting new patients |
| Advantage OT, PC | Occupational Therapist | Current | Accepting new patients |
| Fleming Therapy Services, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
160 N NC 241 Hwy
Beulaville, NC 28518
Phone (888) 258-6905
103 N Plain Rd
Jacksonville, NC 28546
Phone (888) 258-6905
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 and National Provider Directory roles.
-
- Occupational Therapist
- Beulaville, NC
- NPI 1962717025
-
- Occupational Therapist
- Beulaville, NC
- NPI 1497282479
-
- Speech-Language Pathologist
- Stafford, VA
- NPI 1194925818
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1083170781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 WYNBROOKEE LN",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285468682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 HARBOUR VIEW BLVD STE 108B",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234352764",
"telephone_number": "757-974-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERPOOL",
"first_name": "KALI",
"middle_name": "F",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010433",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12343",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.