Individual provider Active NPI

Kayte Marie Wiles Cantaral, OTD, OTR/L

  • Occupational Therapist
  • Hickory, NC
National Provider Identifier
1245905520
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14328 Issued in NC
Practice address
1040 Southgate Corporate Park SW
Hickory, NC 28602-1518
Phone
(828) 358-3115
Fax
(866) 433-2198
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 14328 NC Primary

Addresses

Primary practice location

1040 Southgate Corporate Park SW
Hickory, NC 28602-1518

Mailing address

1040 Southgate Corporate Park SW
Hickory, NC 28602-1518
Phone (828) 358-3115

Other practice location 1

545 Nc Highway 16 S
Taylorsville, NC 28681-9986
Phone (828) 358-3115

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Network Occupational Therapist CurrentSince Aug 15, 2021 Accepting new patients

Locations

1040 Southgate Corporate Park SW
Hickory, NC 28602
Phone (828) 358-3115

Organizations & group practices 1

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1245905520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SOUTHGATE CORPORATE PARK SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021518",
            "telephone_number": "828-358-3115",
            "fax_number": "866-433-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SOUTHGATE CORPORATE PARK SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021518",
            "telephone_number": "828-358-3115",
            "fax_number": "866-433-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Nc Highway 16 S",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "NC",
            "postal_code": "286819986",
            "country_code": "US",
            "telephone_number": "828-358-3115",
            "fax_number": "866-433-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTARAL",
        "first_name": "KAYTE",
        "middle_name": "MARIE WILES",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.