Individual provider Active NPI

Kelly Sterling-Gregory, OTR

  • Pediatric Occupational Therapist
  • Tupelo, MS
National Provider Identifier
1730594383
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT2937 Issued in MS
Practice address
960 Commonwealth Blvd
Tupelo, MS 38804-9762
Phone
(662) 260-3789
Fax
(662) 250-3790
NPI assigned
Jun 23, 2014
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2937 MS
Pediatric Occupational Therapist 225XP0200X OT2937 MS Primary

Addresses

Primary practice location

960 Commonwealth Blvd
Tupelo, MS 38804-9762

Mailing address

9858 Southern Gum Way
Olive Branch, MS 38654-6743
Phone (662) 349-8787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826000899 MS Practitioner - Occupational Therapist in Private Practice 6901134238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dpti Elite Physical Therapy LLCGroup PAC ID 0547579401, 13 clinicians

Practice addresses (Care Compare)

960 Commonwealth Blvd
Tupelo, MS 38804-9762
Phone (662) 260-3789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT2937MSMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Occupational Therapist CurrentSince Jul 29, 2019 Accepting new patients
Dpti Elite Physical Therapy LLC CurrentSince Jul 29, 2019 Accepting new patients
Drayer Physical Therapy Mississippi LLC Occupational Therapist CurrentSince Jul 29, 2019 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1111 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-6002

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

Organizations & group practices 4

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1730594383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 SOUTHERN GUM WAY",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546743",
            "telephone_number": "662-349-8787",
            "fax_number": "662-349-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 COMMONWEALTH BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049762",
            "telephone_number": "662-260-3789",
            "fax_number": "662-250-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING-GREGORY",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2937",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "OT2937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.