Active NPI
Kiley Michelle Price, COTA
- Occupational Therapy Assistant
- Ansted, WV
National Provider Identifier
1013140433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- C1356
- Practice address
- 106 Tyree St.
Ansted, WV 25812 - Phone
- (304) 658-5271
- Fax
- (304) 658-4153
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | C1356 | WV | Primary |
Addresses
Primary practice location
106 Tyree St.
Ansted, WV 25812
Mailing address
PO Box 686
Oak Hill, WV 25901-0686
Phone (304) 574-3888
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1356 | WV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1013140433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 686",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259010686",
"telephone_number": "304-574-3888",
"fax_number": "304-574-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 TYREE ST.",
"city": "ANSTED",
"state": "WV",
"postal_code": "25812",
"telephone_number": "304-658-5271",
"fax_number": "304-658-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "KILEY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WV",
"license": "C1356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ansted, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.