Kendall Lynn Earley, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13739 Issued in NC

Practice address

852 Perry Rd
Apex, NC 27502-7701

Phone

(919) 446-5670

Fax

(919) 267-4761

NPI assigned

Dec 20, 2020

Reactivated

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692

  Occupational Therapist

  NPD (past)
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1801482237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 PERRY RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027701",
            "telephone_number": "919-446-5670",
            "fax_number": "919-267-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 High House Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275133510",
            "country_code": "US",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Center St",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275027026",
            "country_code": "US",
            "telephone_number": "984-246-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "KENDALL",
        "middle_name": "LYNN",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "deactivation_date": "2020-12-21",
        "reactivation_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dutchess II
• Kelli Duvall
• Dynamic Therapy, Inc.
• Caroline Cook Earl, NP
• Laree Eileen Earl, M.S.
• Heather R Easley, LCSWA
• Educare Community Living Corp - North Carolina
• Educare Community Living Corp-North Carolina (Community Alternatives North Carolina)
• Educare Community Living Corporation North Carolina
• Educare Community Living Corporation North Carolina

• Occupational Therapist in Apex, NC
• Providers in Apex, 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 Oct 14, 2024; 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.