Jaymie Barker Reves, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

132547 Issued in KY

Practice address

3116 Breckenridge LN
Louisville, KY 40220-2709

Phone

(502) 459-9120

NPI assigned

Sep 10, 2020

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

To Go TherapyGroup PAC ID 2961873013, 11 clinicians

Defying Dementia LLCGroup PAC ID 6406335553, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Defying Dementia LLC

  dba Therapy Together

  • Speech-Language Pathologist
  • Bowling Green, KY
  • NPI 1861201600

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• To Go Therapy

  • Speech-Language Pathologist
  • Stanford, KY
  • NPI 1750007035
  Medicare reassignment Care Compare group NPD
• Exceptional Therapy LLC

  • Physical Therapist
  • Lexington, KY
  • NPI 1801629456

  IN, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1104431857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6784 BRITTANY OAK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202709",
            "telephone_number": "502-459-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVES",
        "first_name": "JAYMIE",
        "middle_name": "BARKER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "132547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jreves@exceptionalrehabco.com",
            "affiliation": "N",
            "endpointDescription": "secure work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure work email",
            "address_1": "3116 Breckenridge Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402202709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Revell, MS, BCBA, LBA
• Carol Revell, RPH
• Tisa Marie Revels, SA-C, KCSA
• Danielle Revert, APRN
• Lynde Revert, LCSW
• Revive Counseling & Wellness, LLC
• Revive Wellness L.L.C.
• Robert John Revolt, PTA
• Tasha Revolus
• Yeneisy Reyes Diaz, LMT

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.