Individual provider Active NPI

Brandon Zane Klassett, O.T.

  • Occupational Therapist
  • Statesville, NC
National Provider Identifier
1114165362
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12981 Issued in NC
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

Updated by the provider on Apr 2, 2026

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 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

LicenseStateTypeSpecialty
12981NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Fun Therapy and Recreational Services, LLC Occupational Therapist Past Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC PastSince Dec 1, 2019 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.

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.

Verify at the official NPI Registry.