Individual provider Active NPI

Victoria Lynn Kite, OTR

  • Occupational Therapist
  • Greeneville, TN
National Provider Identifier
1174733414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000003544 Issued in TN
Practice address
4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098
Phone
(423) 787-6503
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OT0000003544 TN Primary

Addresses

Primary practice location

4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098

Mailing address

1003 Nation TRL
Jonesborough, TN 37659-6463
Phone (423) 787-6503

Other names 1

  • Mrs. Victoria Kite Brewster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119002367 IL Practitioner - Occupational Therapist in Private Practice 4082675400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 Patton Dr
Mahomet, IL 61853-8116
Phone (217) 275-1174

1709 S Division St
Mahomet, IL 61853-3747
Phone (877) 367-9772

2215 N Bowman Ave
Danville, IL 61834-8108
Phone (217) 340-6286

65 Airport Rd
Savoy, IL 61874-9806
Phone (217) 290-5049

68 Airport Rd
Savoy, IL 61874-9809
Phone (217) 290-2691

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

722 Stonebridge Ctr Rd
Rantoul, IL 61866-2159
Phone (217) 216-5127

901 Medical Ctr Dr
Monticello, IL 61856-2144
Phone (217) 302-4076

909 Green Mill Rd
Arcola, IL 61910-3527
Phone (217) 290-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT0000003544TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC CurrentSince Sep 1, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Sep 1, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Dec 7, 2020 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Dec 7, 2020 Accepting new patients
Behavior Consultation Services Occupational Therapist Past Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 5

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174733414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 NATION TRL",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376596463",
            "telephone_number": "423-787-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453098",
            "telephone_number": "423-787-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITE",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000003544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BREWSTER",
            "middle_name": "KITE",
            "prefix": "MRS.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.