Active NPI
Kerry W Robertson, O.T.
- Occupational Therapist
- Harrodsburg, KY
National Provider Identifier
1174627103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R2493
- Practice address
- 263 Martin LN
Harrodsburg, KY 40330-9616 - Phone
- (859) 734-0822
- Fax
- (859) 734-0822
- NPI assigned
- Sep 11, 2006
- Last updated
- Jul 8, 2007
- 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 | R2493 | KY | Primary |
Addresses
Primary practice location
263 Martin LN
Harrodsburg, KY 40330-9616
Mailing address
263 Martin LN
Harrodsburg, KY 40330-9616
Phone (859) 734-0822
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation SCVS of Mt Sterling | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Mt Sterling, KY
- NPI 1144363482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174627103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 MARTIN LN",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403309616",
"telephone_number": "859-734-0822",
"fax_number": "859-734-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 MARTIN LN",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403309616",
"telephone_number": "859-734-0822",
"fax_number": "859-734-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "KERRY",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R2493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrodsburg, KY
- Kimberly Griswold Releford, LCSW
- Richard M Dartt PSC (Northgate Medical Group)
- Stacey Danielle Rider, PHARMD, LDE
- Casey Riley, LAT, ATC
- Edward Scott Ritchie, DMD
- Brenda Sue Ruckel, RN
- Safe & Sound Personal Service Agency
- Ashley N Salsman, MSW/CSW
- Salyersville Pharmacist Group LLC (Arnold Family Med-Save)
- Deborah Lynn Sampson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.