Kelley Dunn, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5427 Issued in NC

Practice address

413 Bradford Rd
Wilmington, NC 28409-2304

Phone

(910) 619-7690

NPI assigned

Jan 26, 2007

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenlight Occupational Therapy, PC

  • Home Health Agency
  • Wilmington, NC
  • NPI 1497917389
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1205982097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BRADFORD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BRADFORD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092304",
            "telephone_number": "910-619-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KELLEY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "5427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301722",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Renee Duncan, PHARMD
• Leneve Duncan, PT
• Alison Duncklee
• Laura J Dunlap, PHD
• Michael Adam Dunlap, PA
• Thaddeus Leland Dunn, MD
• Rachel Lorraine Dunne
• Cathryn Dunty, PA
• Sarah Edwards Duong
• Johannes Petrus Duplessis, PT

• Pediatric Occupational Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.