Katelynn Pettis, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5561 Issued in AL

Practice address

307 Grand Ave NW
Fort Payne, AL 35967-2109

Phone

(256) 601-3015

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Therapy Junction, LLC

  • Physical Therapist
  • Fort Payne, AL
  • NPI 1568077394

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1134856370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 2ND AVE W APT 301",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601907",
            "telephone_number": "256-557-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GRAND AVE NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672109",
            "telephone_number": "256-601-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "KATELYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Patton, M. ED
• Terrry Payne
• Pediatric Health Services of Alabama
• Rebecca Lynn Peek, RPH
• Jessica Adrian Pendergrass, RPH
• Elizabeth Phillips, PT
• Lisa Diane Pierce, BS PHARM
• Tomas Quiambao Pineda,Jr., M.D.
• Emily Shirey Poff, LPC
• Premier Therapy, LLC

• Occupational Therapist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.