Individual provider Active NPI

Kali F Vanderpool, OTR/L

  • Occupational Therapist
  • Suffolk, VA
National Provider Identifier
1083170781
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010433 Issued in VA
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

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0119010433VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage OT Inc. Occupational Therapist CurrentSince May 1, 2021 Accepting new patients
Advantage OT, PC Occupational Therapist CurrentSince May 1, 2021 Accepting new patients
Fleming Therapy Services, LLC Occupational Therapist PastSince Dec 7, 2025 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.

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.

Verify at the official NPI Registry.