Active NPI
Brandon Zane Klassett, O.T.
- Occupational Therapist
- Statesville, NC
National Provider Identifier
1114165362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12981
- Practice address
- 129 N Tradd St
Statesville, NC 28677-5239 - Phone
- (704) 779-2908
- NPI assigned
- Jan 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12981 | NC | Primary |
Addresses
Primary practice location
129 N Tradd St
Statesville, NC 28677-5239
Mailing address
2415 La Maison Dr
Charlotte, NC 28226-6200
Phone (828) 612-1660
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 |
|---|---|---|---|
| 12981 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Fun Therapy and Recreational Services, LLC | Occupational Therapist | Past | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients | |
| Carolina Speech Therapy Inc | Occupational Therapist | Past | Accepting new patients |
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.
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Occupational Therapist
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- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1114165362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 LA MAISON DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282266200",
"telephone_number": "828-612-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N TRADD ST",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286775239",
"telephone_number": "704-779-2908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLASSETT",
"first_name": "BRANDON",
"middle_name": "ZANE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.