Kelly Black is a Fayetteville, North Carolina based therapist who is specialized in Occupational Therapy. Active license number of Kelly Black is 11328 for Occupational Therapy in North Carolina. Her current practice location is 4101 Raeford Rd, Fayetteville. Patients can reach her at 910-488-2120. Kelly Black is OTR/L in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1942550405.
Kelly Black provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Kelly Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Black |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR/L |
| Practice Address: | 4101 Raeford Rd, Fayetteville,
North Carolina, 28304-4114 |
| Phone: | 910-488-2120 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1942550405 |
| NPI Enumeration Date: | 12 Sep, 2012 |
| NPI Last Update On: | 17 Sep, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Black are as mentioned below.
| License Number | Specialization | State | Status | |
| 11328 | Occupational Therapy | North Carolina | Primary | |
| 056.009759 | Occupational Therapy | Illinois | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Black
1041 Parkers Ridge Dr,
Fuquay Varina, North Carolina |
| Zip: | 27526-5892 |
Patients can reach Kelly Black at
4101 Raeford Rd, Fayetteville, North Carolina or can
call to book an appointment on 910-488-2120.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.