Active NPI
Kelsey Gray
- Occupational Therapy Assistant
- Rushville, IN
National Provider Identifier
1013672476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 904 E 11TH St
Rushville, IN 46173-1368 - Phone
- (765) 932-2974
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
904 E 11TH St
Rushville, IN 46173-1368
Mailing address
10744 N 100 E
Knightstown, IN 46148-9682
Phone (765) 561-2927
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | k_bess2007@hotmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1013672476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10744 N 100 E",
"city": "KNIGHTSTOWN",
"state": "IN",
"postal_code": "461489682",
"telephone_number": "765-561-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E 11TH ST",
"city": "RUSHVILLE",
"state": "IN",
"postal_code": "461731368",
"telephone_number": "765-932-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "KELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "k_bess2007@hotmail.com",
"affiliation": "N",
"address_1": "10744 N 100 E",
"city": "Knightstown",
"state": "IN",
"country_code": "US",
"postal_code": "461489682",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rushville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.