Kelsy Burke
Individual provider Active NPI Occupational Therapist · Goshen, OH
NPI 1194471268 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1194471268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT012711 (OH)
- Practice address
- 1693 E Huntley Rd
Goshen, OH 45122-9771 - Phone
- (513) 846-9091
- NPI assigned
- Feb 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 288967 | KY | MD | Occupational Therapist |
| OT012711 | OH | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 288967 | KY | |
| Occupational Therapist | 225X00000X | OT012711 | OH | Yes |
Addresses
Primary practice location
1693 E Huntley Rd
Goshen, OH 45122-9771
Mailing address
1693 E Huntley Rd
Goshen, OH 45122-9771
Phone (513) 846-9091
Other providers in Goshen, OH
- Tara L Bowling
- Carrie Boyd
- Nancy Bredemeier
- Bradley Brennecke
- Cynthia Burckhard
- Amanda Burroughs
- Irina Byk
- Thomas P Callahan
- Samantha Maren Carpenter
- Victoriana Clevenger
All providers in Goshen, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. 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.