Haley Keylon
Individual provider Active NPI Occupational Therapist · Elizabethton, TN
NPI 1104595487 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1104595487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 7035 (TN)
- Practice address
- 1660 Central Ave
Elizabethton, TN 37643-4850 - Phone
- (423) 647-2346
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Outpatient Rehabilitation Services LLC
Practice addresses (Care Compare)
6215 N US 19E Hwy
C/O Cranberry House
Newland, NC 28657-9447
Phone (828) 270-4657
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240227000748 | NC | Practitioner - Occupational Therapist in Private Practice | 8325483639 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14391 | NC | MD | Public Health Dentist |
| 0007845 | CO | MD | Occupational Therapist |
| 7035 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current |
Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current |
Accepting new patients |
Locations
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572
6215 N US 19E Hwy
Newland, NC 28657
Phone (828) 270-4657
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
13681 S Highway 226
Spruce Pine, NC 28777
Phone (828) 270-7550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14391 | NC | |
| Occupational Therapist | 225X00000X | 0007845 | CO | |
| Occupational Therapist | 225X00000X | 7035 | TN | Yes |
Addresses
Primary practice location
1660 Central Ave
Elizabethton, TN 37643-4850
Mailing address
1660 Central Ave
Elizabethton, TN 37643-4850
Other providers in Elizabethton, TN
- Brooke Nicole Jones-Cannon
- Jessica Nichole Jones
- Deepak Joshi
- Tabitha R Justice
- K VA T Food Stores Inc
- Jean Ann Kimbrel
- Rebekah N King
- Celesta V Kirk
- James Kirkpatrick III
- Chelsea Lynn Kiser
All providers in Elizabethton, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.