Kelli Anne Pitman, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6283 Issued in NC

Practice address

103 Dorsett Dr
Salisbury, NC 28144-2278

Phone

(704) 636-0626

NPI assigned

Jan 29, 2007

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli Gaston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1598801763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 SOURWOOD CT",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280927890",
            "telephone_number": "828-514-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DORSETT DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442278",
            "telephone_number": "704-636-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3446 Sourwood Ct",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280927890",
            "country_code": "US",
            "telephone_number": "828-514-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "KELLI",
        "middle_name": "ANNE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "GASTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Piedmont Neurosurgery & Spine, PA
• Piedmont Plastic & Oral Surgery Center
• Piedmont Radiological Associates, P.a.
• Piedmont Stone Center
• Stephanie Georgia Pierce, LPC, CSAC
• April R Pittman, AU.D.
• Samantha Evelyn Pizzurro, PHARMD, BCEMP
• Dean Platis, PH.D.
• Russell Lindbergh Platt III, DPM
• Mary Tinsley Plumley, LCMHC

• Occupational Therapist in Salisbury, NC
• Providers in Salisbury, 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 Aug 30, 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.