Individual provider Active NPI

Kathryn Springer, OT

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1982074316
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10561 Issued in NC
Practice address
401 N Church St Apt 604
Charlotte, NC 28202-1182
Phone
(407) 619-4012
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10561 NC Primary
Occupational Therapist 225X00000X TOC103176 PA

Addresses

Primary practice location

401 N Church St Apt 604
Charlotte, NC 28202-1182

Mailing address

401 N Church St Apt 604
Charlotte, NC 28202-1182
Phone (407) 619-4012

Other practice location 1

2400 Wildwood Rd
Gibsonia, PA 15044-6404
Phone (407) 619-4012

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10561NCMDGeneral Practice Dentistry
TOC103176PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheelchair Clinic Inc Occupational Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

4307 Western Park Pl
Ste 204
Durham, NC 27705
Phone (801) 440-5592

2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1982074316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N CHURCH ST APT 604",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021182",
            "telephone_number": "407-619-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N CHURCH ST APT 604",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021182",
            "telephone_number": "407-619-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wildwood Rd",
            "address_purpose": "LOCATION",
            "city": "Gibsonia",
            "state": "PA",
            "postal_code": "150446404",
            "country_code": "US",
            "telephone_number": "407-619-4012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "KATHRYN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10561",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "TOC103176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.