Individual provider Active NPI

Kaitlyn Elizabeth Sottile

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1437623923
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14528 Issued in NC
Practice address
503 Covil Ave Ste 100
Wilmington, NC 28403-2683
Phone
(910) 792-6706
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 14528 NC Primary

Addresses

Primary practice location

503 Covil Ave Ste 100
Wilmington, NC 28403-2683

Mailing address

135 Hollis LN
Wilmington, NC 28409-3612
Phone (919) 609-7833

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

LicenseStateTypeSpecialty
14528NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Kids Therapy LLC Occupational Therapist CurrentSince Oct 1, 2023 Accepting new patients
MPS Healthcare Inc Behavior Technician PastSince Jun 1, 2021 Accepting new patients
MPS Health Care PastSince Oct 1, 2021 Accepting new patients
Coastal Kids Therapy PLLC Occupational Therapist PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 4

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1437623923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HOLLIS LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093612",
            "telephone_number": "919-609-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 COVIL AVE STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032683",
            "telephone_number": "910-792-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTILE",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.