Active NPI
Carla Kissel, OTR
- Occupational Therapist
- Lynnville, IN
National Provider Identifier
1154200947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31003334A
- Practice address
- 13033 Spurgeon Rd
Lynnville, IN 47619-8069 - Phone
- (812) 455-3066
- NPI assigned
- Aug 27, 2025
- Last updated
- Aug 27, 2025
- 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 | 31003334A | IN | Primary |
Addresses
Primary practice location
13033 Spurgeon Rd
Lynnville, IN 47619-8069
Mailing address
13033 Spurgeon Rd
Lynnville, IN 47619-8069
Phone (812) 455-3066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31003334A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1154200947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13033 SPURGEON RD",
"city": "LYNNVILLE",
"state": "IN",
"postal_code": "476198069",
"telephone_number": "812-455-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13033 SPURGEON RD",
"city": "LYNNVILLE",
"state": "IN",
"postal_code": "476198069",
"telephone_number": "812-455-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSEL",
"first_name": "CARLA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003334A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.