Kelly Rose Fitzgerald, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10673 Issued in NC

Practice address

2110 Ben Craig Dr Ste 300
Charlotte, NC 28262-2302

Phone

(704) 595-9363

Fax

(704) 595-9365

NPI assigned

Jun 18, 2012

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)

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.

• Go Your Own Way, Inc.

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1659688158
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1861755613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 BOBBIE LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796539",
            "telephone_number": "980-229-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 BEN CRAIG DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622302",
            "telephone_number": "704-595-9363",
            "fax_number": "704-595-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KELLY",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Layne Fitts, PT, DPT
• Sarah Fitz-Maurice, DPT
• Ciera Caylin Fitzgerald, FNP
• Jamillah Fitzgerald, LCAS-A
• Jeremy Fitzgerald
• Margaret Thompson Fitzgerald
• Tara Tennison Fitzgerald, PT
• Stephanie Lindsey Fitzpatrick, RPH
• Megan Lynn Fitzsimmons, DNP, APRN, CPNP-PC
• Nicholas J Fitzsimons, MD

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, 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 31, 2016; 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.