Active NPI
Kelly Hemphill, OTR
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1245685676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006059
- Practice address
- 15112 Superior St
Charlotte, NC 28273-6867 - Phone
- (704) 618-9206
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119006059 | VA | Primary |
| Occupational Therapist | 225X00000X | 16868 | FL |
Addresses
Primary practice location
15112 Superior St
Charlotte, NC 28273-6867
Mailing address
15112 Superior St
Charlotte, NC 28273-6867
Phone (704) 618-9206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16868 | FL | MD | Occupational Therapist |
| 0119006059 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1245685676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15112 SUPERIOR ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736867",
"telephone_number": "704-618-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15112 SUPERIOR ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736867",
"telephone_number": "704-618-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMPHILL",
"first_name": "KELLY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006059",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "16868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.