Active NPI
Kaitlyn Bennett, M.S., OTR/L
- Occupational Therapist
- Vestavia, AL
National Provider Identifier
1548747942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4762
- Practice address
- 3140 Cahaba Heights Road
Suite 102
Vestavia, AL 35243 - Phone
- (205) 969-8080
- NPI assigned
- Jul 27, 2018
- Last updated
- Jul 27, 2018
- 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 Therapist | 225X00000X | 4762 | AL | Primary |
Addresses
Primary practice location
3140 Cahaba Heights Road
Suite 102
Vestavia, AL 35243
Mailing address
3140 Cahaba Heights Rd Ste 102
Vestavia, AL 35243-5243
Phone (205) 969-8080
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4762 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1548747942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 CAHABA HEIGHTS RD STE 102",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435243",
"telephone_number": "205-969-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 CAHABA HEIGHTS ROAD",
"address_2": "SUITE 102",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "35243",
"telephone_number": "205-969-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "KAITLYN",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.