Active NPI
Kiran C Hansberry
- Occupational Therapist
- Knightdale, NC
National Provider Identifier
1497101943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 126450
- Practice address
- 7048 Knightdale Blvd Ste 220C
Knightdale, NC 27545-8894 - Phone
- (912) 223-2037
- NPI assigned
- May 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT20423 | FL | |
| Occupational Therapist | 225X00000X | 07798 | MD | |
| Occupational Therapist | 225X00000X | 126450 | TX | Primary |
Addresses
Primary practice location
7048 Knightdale Blvd Ste 220C
Knightdale, NC 27545-8894
Mailing address
5119 Crystal Park LN
Ellicott City, MD 21043-7947
Other practice location 1
1000 W Broadway St Ste 214
Oviedo, FL 32765-9262
Phone (407) 359-5693
Other practice location 2
5119 Crystal Park Ln
Ellicott City, MD 21043-7947
Phone (888) 265-2680 ext. 247
Other practice location 3
11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Phone (904) 652-5408
Other practice location 4
6110 Sienna Ranch Rd
Missouri City, TX 77459-5687
Phone (443) 538-3714
Other names 1
- Kiran C Sidhwani
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 |
|---|---|---|---|
| OT20423 | FL | MD | Occupational Therapist |
| 07798 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1497101943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 CRYSTAL PARK LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210437947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7048 KNIGHTDALE BLVD STE 220C",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275458894",
"telephone_number": "912-223-2037"
}
],
"practiceLocations": [
{
"address_1": "1000 W Broadway St Ste 214",
"address_purpose": "LOCATION",
"city": "Oviedo",
"state": "FL",
"postal_code": "327659262",
"country_code": "US",
"telephone_number": "407-359-5693",
"fax_number": "407-792-5693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5119 Crystal Park Ln",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210437947",
"country_code": "US",
"telephone_number": "888-265-2680 x247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11512 Lake Mead Ave Unit 604",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322569686",
"country_code": "US",
"telephone_number": "904-652-5408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6110 Sienna Ranch Rd",
"address_purpose": "LOCATION",
"city": "Missouri City",
"state": "TX",
"postal_code": "774595687",
"country_code": "US",
"telephone_number": "443-538-3714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSBERRY",
"first_name": "KIRAN",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT20423",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07798",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "126450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRAN",
"last_name": "SIDHWANI",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.