Katie Mostellar, M.S.OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

14033 Issued in NC

Practice address

304 Judd Place Dr
Fuquay Varina, NC 27526-2386

Phone

(919) 557-8307

NPI assigned

May 2, 2019

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

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 and National Provider Directory roles.

• Bluebird Pediatric Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Mobile, AL
  • NPI 1619255460
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1740845080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 AIRPORT BLVD STE 205",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083147",
            "telephone_number": "251-287-0378",
            "fax_number": "251-287-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JUDD PLACE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262386",
            "telephone_number": "919-557-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLAR",
        "first_name": "KATIE",
        "credential": "M.S.OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "4949",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "14033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamillah Moore
• Isaac Joseph Morgan
• Natalie Morreale
• Hayleigh Morton, LMFTA
• Keith Cory Moss, PH.D.
• Andrew R Mouro, DMD
• Aggy Moyer
• Tara Mueller
• Obed Kamunga Mulenda, DPT
• Angela Coleman Mumford, PHARMD

• Pediatric Occupational Therapist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.