Kelly Marie Trainor, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4011 Issued in NC

Practice address

1204 Windsong Dr
Greenville, NC 27858-9742

Phone

(252) 341-4025

Fax

(252) 296-1400

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapeutic Life Center, Inc.

  • Occupational Therapist
  • Greenville, NC
  • NPI 1275559759
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1467568014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 WINDSONG DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589742",
            "telephone_number": "252-341-4025",
            "fax_number": "252-296-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 WINDSONG DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589742",
            "telephone_number": "252-341-4025",
            "fax_number": "252-296-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINOR",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "4011",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301628",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Lesane Townes, LCSW
• John David Townsend, M.D.
• Kacie Danielle Tracey, CRNA
• Trading Places, Inc
• Lauren Katherine Traflet, LAT, ATC
• Boi Phuong Tran, M.D.
• Diep Linh Keely Tran, MD
• Kimberly Mai Tran, PHARM.D.
• Michael Ngoc-Tri Tran
• Victoria Tran

• Occupational Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.