Active NPI
Kaitlyn Allen, OTR/L
- Occupational Therapist
- Clarksburg, WV
National Provider Identifier
1194423129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1836
- Practice address
- 154 E Main St
Clarksburg, WV 26301-2160 - Phone
- (304) 933-3073
- NPI assigned
- Feb 20, 2023
- 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 | 1836 | WV | Primary |
Addresses
Primary practice location
154 E Main St
Clarksburg, WV 26301-2160
Mailing address
PO Box 220
Bridgeport, WV 26330-0220
Phone (304) 203-2508
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 |
|---|---|---|---|
| 1836 | WV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Speech Solutions | Occupational Therapist | Current | Accepting new patients |
| Bliss Ventures, LLC | Current | Accepting new patients |
Locations
154 E Main St
Clarksburg, WV 26301
Phone (304) 933-3073
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Clarksburg, WV
- NPI 1366302226
-
- Speech-Language Pathologist
- Bridgeport, WV
- NPI 1760067326
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1194423129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263300220",
"telephone_number": "304-203-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 E MAIN ST",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263012160",
"telephone_number": "304-933-3073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KAITLYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.