Active NPI
Kristen Renee Gutman, OTR/L
- Occupational Therapist
- Southern Pines, NC
National Provider Identifier
1750939708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12764
- Practice address
- 500 E Rhode Island Ave
Southern Pines, NC 28387-4010 - Phone
- (910) 692-0300
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12764 | NC | Primary |
Addresses
Primary practice location
500 E Rhode Island Ave
Southern Pines, NC 28387-4010
Mailing address
1903 Edwards Hill Church Rd
Siler City, NC 27344-8238
Phone (419) 438-8751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12764 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1750939708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 EDWARDS HILL CHURCH RD",
"city": "SILER CITY",
"state": "NC",
"postal_code": "273448238",
"telephone_number": "419-438-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E RHODE ISLAND AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874010",
"telephone_number": "910-692-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMAN",
"first_name": "KRISTEN",
"middle_name": "RENEE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.