Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Gray Mangum, MOT, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1154518876

Kimberly Gray Mangum, MOT, OTR/L is a Pediatric Occupational Therapist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

7209 Creedmoor Rd Ste 101
Raleigh, NC 27613-1625
Phone: (919) 844-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 6619 (NC)

Record details

NPI number1154518876
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorNo
NPI enumeratedSeptember 26, 2007
Last updated in NPPESDecember 13, 2007

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