Kelley K Hermann, OTR/L
Individual provider Active NPI Occupational Therapist · Rota Spain, NY
NPI 1184735375 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1184735375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3823 (AZ)
- Practice address
- Hospital Americano Base Naval de Rota
Apartado de Correos 22
Rota Spain, NY 11530 - Phone
- (314) 727-4029
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR 2009 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Unified School District | Past | Accepting new patients | |
| Vail Unified School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR 2009 | AR | |
| Occupational Therapist | 225X00000X | 3823 | AZ | Yes |
Addresses
Primary practice location
Hospital Americano Base Naval de Rota
Apartado de Correos 22
Rota Spain, NY 11530
Mailing address
PSC 819 Box 18
Fpo, AE 09645-0001
Phone (314) 727-4029
Other practice location 1
13801 E Benson Hwy
Vail, AZ 85641-9074
Phone (520) 879-2051
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.