Kelly Black, OTR/L
NPI 1942550405 · Occupational Therapist · Fayetteville, NC
Kelly Black, OTR/L is a Occupational Therapist provider in Fayetteville, NC (NPI 1942550405).
Provider details
- NPI number
- 1942550405
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 056.009759 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5000 S 5th AveHines, IL 60141-3030Phone: (708) 202-8387
Registry dates
- Enumerated
- 2012-09-12
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Frequently asked questions
- What is Kelly Black's NPI number?
- Kelly Black's National Provider Identifier (NPI) is 1942550405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Black's specialty?
- Kelly Black is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Black located?
- Kelly Black's practice location on file with NPPES is 4101 Raeford Rd, Fayetteville, NC 28304-4114.
- What is Kelly Black's phone number?
- The practice phone number listed in the NPPES registry for Kelly Black is (910) 488-2120.
- Is Kelly Black's NPI active?
- Yes — Kelly Black's NPI (1942550405) is active in the NPPES registry as of the last update on 2020-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.