Active NPI
Kelle Kathleen Deboth, MOT, OTR/L
- Pediatric Occupational Therapist
- Twinsburg, OH
National Provider Identifier
1205023322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.006316
- Practice address
- 8054 Darrow Rd
Twinsburg, OH 44087-2381 - Phone
- (330) 963-8600
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT.006316 | OH | Primary |
Addresses
Primary practice location
8054 Darrow Rd
Twinsburg, OH 44087-2381
Mailing address
8054 Darrow Rd
Twinsburg, OH 44087-2381
Phone (330) 963-8600
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 |
|---|---|---|---|
| OT.006316 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1205023322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8054 DARROW RD",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872381",
"telephone_number": "330-963-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8054 DARROW RD",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872381",
"telephone_number": "330-963-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOTH",
"first_name": "KELLE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OT.006316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twinsburg, OH
- Dean Cutrer
- Daroga Dialysis LLC (Twinsburg Home Training)
- David Santoro, PHD. (Psychological Services)
- Regina Davis
- Marielaine De Roia, M.A.,CCC-SLP
- Deanna Deleo
- Kelly Lee Dengler, COTA/L
- Deol Medicine LLC (Twinsburg Family Medicine and Foot & Ankle Center)
- Aarondeep Singh Deol, DPM
- Nazmine Deol, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.