Active NPI
Kyndall Faye Hiatt, OTD, OTR/L
- Occupational Therapist
- Huntersville, NC
National Provider Identifier
1649003377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17107
- Practice address
- 16455 Statesville Rd Ste 300
Huntersville, NC 28078-7139 - Phone
- (704) 863-5040
- Fax
- (704) 863-5876
- NPI assigned
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 17107 | NC | Primary |
Addresses
Primary practice location
16455 Statesville Rd Ste 300
Huntersville, NC 28078-7139
Mailing address
2020 W Morehead St Apt 207
Charlotte, NC 28208-5834
Phone (276) 733-1394
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 |
|---|---|---|---|
| 17107 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1649003377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W MOREHEAD ST APT 207",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085834",
"telephone_number": "276-733-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 STATESVILLE RD STE 300",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787139",
"telephone_number": "704-863-5040",
"fax_number": "704-863-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIATT",
"first_name": "KYNDALL",
"middle_name": "FAYE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.