Individual provider Active NPI

Katherine Fleming, OTR/L

  • Occupational Therapist
  • Mount Airy, NC
National Provider Identifier
1720837644
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16789 Issued in NC
Practice address
711 W Independence Blvd
Mount Airy, NC 27030-3576
Phone
(855) 983-0488
NPI assigned
May 14, 2024
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 16789 NC Primary

Addresses

Primary practice location

711 W Independence Blvd
Mount Airy, NC 27030-3576

Mailing address

1244 N Flint St
Lincolnton, NC 28092-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612002774 NC Practitioner - Occupational Therapist in Private Practice 3274075684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16789NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidology, Inc Occupational Therapist CurrentSince May 3, 2024 Accepting new patients

Locations

1244 N Flint St
Lincolnton, NC 28092
Phone (704) 740-0676

711 W Independence Blvd
Mount Airy, NC 27030
Phone (855) 983-0488

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1720837644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N FLINT ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280925239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W INDEPENDENCE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303576",
            "telephone_number": "855-983-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.