Kylie Celeste Fick, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

122985 Issued in IA

Practice address

128 Brawley School Rd
Mooresville, NC 28117-9102

Phone

(704) 799-2712

NPI assigned

Nov 23, 2023

Last updated

Nov 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kylie Celeste Walker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700697600000",
    "number": "1932974516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EAGLE WATCH RD",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615381",
            "telephone_number": "563-261-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BRAWLEY SCHOOL RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179102",
            "telephone_number": "704-799-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "KYLIE",
        "middle_name": "CELESTE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-23",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "122985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "WALKER",
            "middle_name": "CELESTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Herminia De Guzman Ferreras, MD
• Hannah Fesler, LCMHCA
• Courtney King Fesperman, OTR/L
• Kathleen Jane Fetter, MS, LPC
• Pamela June Feuerstein
• Gianna Fiebe, LCSW
• Ashley Hiatt Fields, MA, LCMHCA
• Mary McKenzie Finger, MSOT, OTR/L
• Creighton D Fiscina, MD
• Christine Frances Fisher, PT, DPT, CLT-LANA

• Occupational Therapy Assistant in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; 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.