Loren Kline, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

13968 Issued in NC

Practice address

17111 Kenton Dr Ste 206B
Cornelius, NC 28031-5650

Phone

(704) 237-4105

Fax

(704) 237-4107

NPI assigned

Mar 22, 2021

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cool Beans Therapy Clubhouse, LLC

  • Pediatric Occupational Therapist
  • Cornelius, NC
  • NPI 1801416565
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1720664501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 KENTON DR STE 206B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315650",
            "telephone_number": "704-237-4105",
            "fax_number": "704-237-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 KENTON DR STE 206B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315650",
            "telephone_number": "704-237-4105",
            "fax_number": "704-237-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "LOREN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "13968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBOT",
            "identifier": "13968",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cornelius",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Cornelius",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17111 Kenton Dr Ste 206B",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280315650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenesha Hilda Kirkland, MD
• Coral D Kirscher, FNP-C
• Micah Kirscher
• Deborah Kish, MACC, LPCA
• Alexandria Kitchens, NP-C
• Meredith Ann Kolk-Tomberlin, MSW, LCSW
• Laura Komisarcik, M.S., CCC-SLP
• Julie Kouzel, SLP
• Elizabeth Wiley Kovacs, LCSW
• Amy Marie Krantz Metzgar, MA, LPC, NCC, NCSC

• Occupational Therapy Assistant in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.