Active NPI
Missot PLLC
- Occupational Therapist
- Hillsborough, NC
National Provider Identifier
1891127478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5845
- Legal business name
- MISSOT PLLC
- Practice address
- 1414 Laurel LN
Hillsborough, NC 27278-9456 - Phone
- (919) 451-9636
- Fax
- (919) 732-2514
- NPI assigned
- Aug 6, 2013
- Last updated
- Mar 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Laura Titus, OTR/L
- Title
- Occupational Therapist
- Phone
- (919) 451-9636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5845 | NC | Primary |
| Occupational Therapist | 225X00000X | 0636 | NC |
Addresses
Primary practice location
1414 Laurel LN
Hillsborough, NC 27278-9456
Mailing address
1414 Laurel LN
Hillsborough, NC 27278-9456
Phone (919) 451-9636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301872 | Medicaid | NC | |
| 7302450 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Occupational Therapist
- Hillsborough, NC
- NPI 1568597276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1891127478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 LAUREL LN",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789456",
"telephone_number": "919-451-9636",
"fax_number": "919-732-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 LAUREL LN",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789456",
"telephone_number": "919-451-9636",
"fax_number": "919-732-2514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "TITUS",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "LAURA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "919-451-9636",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5845",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "0636",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301872",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7302450",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.