Active NPI
Kelsy Burke
- Occupational Therapist
- Goshen, OH
National Provider Identifier
1194471268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT012711
- Practice address
- 1693 E Huntley Rd
Goshen, OH 45122-9771 - Phone
- (513) 846-9091
- NPI assigned
- Feb 26, 2022
- Last updated
- May 17, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 288967 | KY | |
| Occupational Therapist | 225X00000X | OT012711 | OH | Primary |
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
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 |
|---|---|---|---|
| 288967 | KY | MD | Occupational Therapist |
| OT012711 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1194471268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1693 E HUNTLEY RD",
"city": "GOSHEN",
"state": "OH",
"postal_code": "451229771",
"telephone_number": "513-846-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1693 E HUNTLEY RD",
"city": "GOSHEN",
"state": "OH",
"postal_code": "451229771",
"telephone_number": "513-846-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "KELSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-26",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "288967",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT012711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.