Nicole Kemerling, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10039 Issued in NC

Practice address

424 McArthur Rd
Fayetteville, NC 28311-6924

Phone

(910) 868-2002

Fax

(910) 868-2004

NPI assigned

Jul 14, 2021

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1952069536

  Occupational Therapist

  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1942058037

  Occupational Therapist

  NPD
• RDL Therapeutic Outpatient Therapy

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1275030272

  Occupational Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1992377329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MCARTHUR RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116924",
            "telephone_number": "910-868-2002",
            "fax_number": "910-868-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MCARTHUR RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116924",
            "telephone_number": "910-868-2002",
            "fax_number": "910-868-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMERLING",
        "first_name": "NICOLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Ashley Kelly
• William Huske Kelly, M.D.
• John M Kelsch Jr., M.D.
• Joshua Kelsen, RBT
• Elizabeth Keltner, LCSWA
• Janise Shanell Kendrick, LCSWA
• Kendrics Place LLC
• Keneri, LLC
• Amber D Kennedy, MA
• Danielle Kennedy, BCBA

• Occupational Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.