Individual provider Active NPI

Kylie Fair, OTR/L

  • Occupational Therapist
  • Mount Laurel, NJ
National Provider Identifier
1649187386
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01310300 Issued in NJ
Practice address
1015 Briggs Rd Ste 150
Mount Laurel, NJ 08054-4114
Phone
(856) 492-1355
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01310300 NJ Primary

Addresses

Primary practice location

1015 Briggs Rd Ste 150
Mount Laurel, NJ 08054-4114

Mailing address

1015 Briggs Rd Ste 150
Mount Laurel, NJ 08054-4114
Phone (856) 492-1355

Other practice location 1

1124 Patriot Way
Eastampton, NJ 08060-9624
Phone (856) 492-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1649187386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BRIGGS RD STE 150",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544114",
            "telephone_number": "856-492-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BRIGGS RD STE 150",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544114",
            "telephone_number": "856-492-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 Patriot Way",
            "address_purpose": "LOCATION",
            "city": "Eastampton",
            "state": "NJ",
            "postal_code": "080609624",
            "country_code": "US",
            "telephone_number": "856-492-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIR",
        "first_name": "KYLIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01310300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.