Active NPI
Kacey Bailey, OTR/L
- Occupational Therapist
- Shelby, NC
National Provider Identifier
1083217293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13695
- Practice address
- 400 W Marion St
Shelby, NC 28150-5338 - Phone
- (704) 476-8000
- NPI assigned
- Nov 19, 2020
- 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 | 13695 | NC | Primary |
| Occupational Therapist | 225X00000X | 6030 | SC |
Addresses
Primary practice location
400 W Marion St
Shelby, NC 28150-5338
Mailing address
347 Chesterfield Rd
Mooresboro, NC 28114-8618
Phone (828) 305-3464
Other practice location 1
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000
Other practice location 2
149 Fairhaven Dr
Bostic, NC 28018-8759
Phone (828) 245-9095
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 |
|---|---|---|---|
| 6030 | SC | MD | Pharmacist |
| 13695 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1083217293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 CHESTERFIELD RD",
"city": "MOORESBORO",
"state": "NC",
"postal_code": "281148618",
"telephone_number": "828-305-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MARION ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505338",
"telephone_number": "704-476-8000"
}
],
"practiceLocations": [
{
"address_1": "101 E Wood St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033040",
"country_code": "US",
"telephone_number": "864-560-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "149 Fairhaven Dr",
"address_purpose": "LOCATION",
"city": "Bostic",
"state": "NC",
"postal_code": "280188759",
"country_code": "US",
"telephone_number": "828-245-9095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "KACEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13695",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.