Active NPI
Keira Jean Gathers, M.O.T.
- Pediatric Occupational Therapist
- Charlotte, NC
National Provider Identifier
1669519823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 7155
- Practice address
- 3007 Simmon Tree Rd
Charlotte, NC 28270-0676 - Phone
- (704) 995-2900
- NPI assigned
- Jan 30, 2007
- Last updated
- Dec 31, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 618 | HI | |
| Pediatric Occupational Therapist | 225XP0200X | 7155 | NC | Primary |
Addresses
Primary practice location
3007 Simmon Tree Rd
Charlotte, NC 28270-0676
Mailing address
2028 Galty LN
Charlotte, NC 28270-1147
Phone (980) 322-2185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7302220 | Medicaid | NC |
Other names 1
- Mrs. Keira Jean Hanby
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 |
|---|---|---|---|
| 618 | HI | MD | Occupational Therapist |
| 7155 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Bird Developmental Services, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Matthews, NC
- NPI 1891869236
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1669519823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 GALTY LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282701147",
"telephone_number": "980-322-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 SIMMON TREE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282700676",
"telephone_number": "704-995-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATHERS",
"first_name": "KEIRA",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "M.O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "618",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "7155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7302220",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEIRA",
"last_name": "HANBY",
"middle_name": "JEAN",
"prefix": "MRS.",
"credential": "MOT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.