Individual provider Active NPI

Kelly Diane Auld-Wright, M.A.

  • Pediatric Occupational Therapist
  • Upland, CA
National Provider Identifier
1225428204
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
9637 Issued in CA
Practice address
1452 N Victoria Ave
Upland, CA 91786-2758
Phone
(909) 870-8998
NPI assigned
Jan 29, 2015
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 9637 CA Primary

Addresses

Primary practice location

1452 N Victoria Ave
Upland, CA 91786-2758

Mailing address

1452 N Victoria Ave
Upland, CA 91786-2758
Phone (909) 870-8998

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9637CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1225428204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 N VICTORIA AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862758",
            "telephone_number": "909-870-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 N VICTORIA AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862758",
            "telephone_number": "909-870-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULD-WRIGHT",
        "first_name": "KELLY",
        "middle_name": "DIANE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "9637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.