Kiley L Henderson, MS, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1426 Issued in ME

Practice address

98 Bangor St Ste a
Houlton, ME 04730-1603

Phone

(207) 521-0200

Fax

(207) 521-0210

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kiley Gray Henderson Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County Physical Therapy LLCGroup PAC ID 3779520242, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County Physical Therapy, LLC

  • Physical Therapist
  • Caribou, ME
  • NPI 1386686616

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Quaker State Medical Services Co Inc

  • Non-Pharmacy Dispensing Site
  • Exton, PA
  • NPI 1629089578
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1104108463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BANGOR ST STE A",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301603",
            "telephone_number": "207-521-0200",
            "fax_number": "207-521-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BANGOR ST STE A",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301603",
            "telephone_number": "207-521-0200",
            "fax_number": "207-521-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KILEY",
        "middle_name": "L",
        "credential": "MS, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "ME",
            "license": "OT1426",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KILEY",
            "last_name": "GRAY HENDERSON",
            "credential": "MS, OTR/L, CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Ann Hanton, RN
• Karen A Hardy, RN
• Lauren E Harris, CADC
• Tiffany Hartin, LCPC-C
• Bruce Merrill Harvey, DC
• Nicole Henderson, CADC
• Jordan A. Hill, DPT
• Mary Elizabeth Hill, RN BSN
• Amy Hocking, LMSW
• Seth Chamberlin Hodgkins, PHARM D

• Occupational Therapist in Houlton, ME
• Providers in Houlton, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.