Organization Active NPI

Missot PLLC

  • Occupational Therapist
  • Hillsborough, NC
National Provider Identifier
1891127478
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5845 Issued in NC
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Kristin Laura Titus, OTR/LNPI 1568597276
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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 5845 NC Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7301872MedicaidNC
7302450MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.