Katlyn Brooke Hare, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12294 Issued in NC

Practice address

1260 Hidden Cove LN
Lenoir, NC 28645-4742

Phone

(828) 394-5084

NPI assigned

Oct 2, 2019

Last updated

Apr 14, 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 2

Addresses

Other names 1

• Katlyn Brooke Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Appalachian Speech Pathology Associates, Inc.

  • Behavior Analyst
  • Lenoir, NC
  • NPI 1225207715

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1740821685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WELBORN ST",
            "city": "MILLERS CREEK",
            "state": "NC",
            "postal_code": "286518451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 HIDDEN COVE LN",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454742",
            "telephone_number": "828-394-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "KATLYN",
        "middle_name": "BROOKE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "12294",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "WILSON",
            "middle_name": "BROOKE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Buchanan Hair, OTR/L
• Hallmark Family Physicians, Inc.
• Derval Hamilton, PT, DPT
• Patricia S Handley, LPTA
• Erin Renee Hankins, M.A. LPCA
• Margaret Nichole Harmon, LCSWA
• Harmony Home Care Inc (Harmony Home Care)
• Harmony United, Inc
• Rebecca Bosman Hatley, MSW, LCSWA
• Kelly Hawkins

• Occupational Therapist in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.