Active NPI
Kailey Perry
- Occupational Therapist
- Columbus, OH
National Provider Identifier
1023631447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT010918
- Practice address
- 1350 Alum Creek Dr
Columbus, OH 43209-2705 - Phone
- (614) 292-7520
- NPI assigned
- May 20, 2020
- Last updated
- Sep 16, 2024
- 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 Therapist | 225X00000X | OT010918 | OH | Primary |
Addresses
Primary practice location
1350 Alum Creek Dr
Columbus, OH 43209-2705
Mailing address
1350 Alum Creek Dr
Columbus, OH 43209-2705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0404058 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200623001521 | OH | Practitioner - Occupational Therapist in Private Practice | 0941622849 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Therapy Center | Occupational Therapist | Current | Accepting new patients |
| Bridgeway Therapy Center | Current | Accepting new patients |
Locations
1350 Alum Creek Dr
Columbus, OH 43209
Phone (614) 262-7520
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Columbus, OH
- NPI 1508506619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1023631447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432092705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432092705",
"telephone_number": "614-292-7520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT010918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0404058",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.