Active NPI
Kelly Barrett, M.S, OTR/L
- Pediatric Occupational Therapist
- Mebane, NC
National Provider Identifier
1881003523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 7085
- Practice address
- 101 E Center St
Mebane, NC 27302-2431 - Phone
- (336) 688-6519
- NPI assigned
- Aug 6, 2014
- Last updated
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 7085 | NC | Primary |
Addresses
Primary practice location
101 E Center St
Mebane, NC 27302-2431
Mailing address
1615 Saint Andrews Dr
Mebane, NC 27302-7116
Phone (336) 688-6519
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7085 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teal Pediatric Therapy PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1881003523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 SAINT ANDREWS DR",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027116",
"telephone_number": "336-688-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E CENTER ST",
"city": "MEBANE",
"state": "NC",
"postal_code": "273022431",
"telephone_number": "336-688-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "KELLY",
"credential": "M.S, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "7085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.