Active NPI
Kathleen Knutson, MHS, OTR/L, CHT
- Occupational Therapist
- Crestview Hills, KY
National Provider Identifier
1154408680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003770
- Practice address
- 545 Centre View Blvd
Crestview Hills, KY 41017-3444 - Phone
- (859) 331-4263
- Fax
- (859) 344-1711
- NPI assigned
- Nov 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R5538 | KY | |
| Occupational Therapist | 225X00000X | OT003770 | OH | Primary |
Addresses
Primary practice location
545 Centre View Blvd
Crestview Hills, KY 41017-3444
Mailing address
11674 Symmes Creek Dr
Loveland, OH 45140-9396
Phone (513) 697-0478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2981089 | Medicaid | OH |
Other names 1
- Kathleen Deering
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1154408680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11674 SYMMES CREEK DR",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451409396",
"telephone_number": "513-697-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 CENTRE VIEW BLVD",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173444",
"telephone_number": "859-331-4263",
"fax_number": "859-344-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "KATHLEEN",
"credential": "MHS, OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "R5538",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT003770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2981089",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "DEERING",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.