Active NPI
Kaitlyn M Dennis
- Occupational Therapy Assistant
- Louisville, KY
National Provider Identifier
1205172129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3611
- Practice address
- 303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5185 - Phone
- (502) 412-5847
- NPI assigned
- Dec 20, 2012
- 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 Therapy Assistant | 224Z00000X | 3611 | MA | Primary |
Addresses
Primary practice location
303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5185
Mailing address
106 Franklin St
B
Watertown, MA 02472-4022
Phone (978) 758-7165
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1205172129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FRANKLIN ST",
"address_2": "B",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724022",
"telephone_number": "978-758-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N HURSTBOURNE PKWY",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225185",
"telephone_number": "502-412-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "KAITLYN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-20",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "3611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.