Individual provider Active NPI

Kelsey Cherie Bush, OTR/L

  • Occupational Therapist
  • Lebanon, VA
National Provider Identifier
1063945699
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007312 Issued in VA
Practice address
635 W Main St
Lebanon, VA 24266-3809
Phone
(276) 451-9880
NPI assigned
Apr 10, 2017
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119007312 VA Primary

Addresses

Primary practice location

635 W Main St
Lebanon, VA 24266-3809

Mailing address

635 W Main St
Lebanon, VA 24266-3809
Phone (276) 591-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903000565 VA Practitioner - Occupational Therapist in Private Practice 3779900808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Play Hut PLLC Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients
Helping Hands Home Health Care, Inc. PastSince Jan 1, 2021 Accepting new patients

Locations

635 W Main St
Lebanon, VA 24266
Phone (276) 415-9880

113 Short St
Ste 7
Pounding Mill, VA 24637
Phone (276) 415-9880

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1063945699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663809",
            "telephone_number": "276-591-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663809",
            "telephone_number": "276-451-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "KELSEY",
        "middle_name": "CHERIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.

Verify at the official NPI Registry.