Active NPI
Ktrina Kae Wolff, COTA/L
- Occupational Therapy Assistant
- Greensboro, NC
National Provider Identifier
1447595467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6251
- Practice address
- 1905 Briar Run Dr
Greensboro, NC 27405-9677 - Phone
- (336) 500-7165
- NPI assigned
- Dec 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 6251 | NC | Primary |
Addresses
Primary practice location
1905 Briar Run Dr
Greensboro, NC 27405-9677
Mailing address
1905 Briar Run Dr
Greensboro, NC 27405-9677
Phone (336) 500-7165
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 |
|---|---|---|---|
| 6251 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1447595467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 BRIAR RUN DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274059677",
"telephone_number": "336-500-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 BRIAR RUN DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274059677",
"telephone_number": "336-500-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "KTRINA",
"middle_name": "KAE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "6251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.