Kahlie Brianne McDuffie, COTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9574 Issued in NC

Practice address

900 S Franklin Street
Suite 201
Wake Forest, NC 27587-2797

Phone

(919) 556-1700

Fax

(919) 556-1245

NPI assigned

Apr 28, 2015

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

Other names 1

• Ms. Kahlie Brianne Tomplait Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1205213352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S FRANKLIN STREET",
            "address_2": "SUITE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872797",
            "telephone_number": "919-556-1700",
            "fax_number": "919-556-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S FRANKLIN STREET",
            "address_2": "SUITE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872797",
            "telephone_number": "919-556-1700",
            "fax_number": "919-556-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "KAHLIE",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9574",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAHLIE",
            "last_name": "TOMPLAIT",
            "middle_name": "BRIANNE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Camryn Brooke McClure
• Ralph J McCoig, LCSW
• Jennifer K McCullen
• Dominique McDonald
• Jennifer J Wright McDougal, PHD
• Miranda McHugh, CCC-SLP
• Laura Elizabeth McIntyre, LCSW
• Daniel Thomas McKearney, PA-C
• Angelique Michelle McKitrick
• Rick McKoy, LPCA

• Occupational Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.