Kelsey Alexandra Carrico, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

171101 Issued in KY

Practice address

122 E 18TH St
Owensboro, KY 42303-3751

Phone

(270) 926-2212

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Alexandra Kolter Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carrico Therapy Services LLCGroup PAC ID 7012243470, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carrico Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Owensboro, KY
  • NPI 1891256251

  Occupational Therapist

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1205354560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 18TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033751",
            "telephone_number": "270-926-2122",
            "fax_number": "270-926-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 18TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033751",
            "telephone_number": "270-926-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICO",
        "first_name": "KELSEY",
        "middle_name": "ALEXANDRA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "171101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "KOLTER",
            "middle_name": "ALEXANDRA",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stevie Nicole Carraro, M.D.
• Carrico Congleton Family Practice, LLC
• Carrico Therapy Services LLC
• Amy S Carrico, DMD
• Judy Ann Carrico, ARNP
• Matheis W Carrico, MD
• Jonathan Eric Carroll, KLPC, NCPC, NCCE
• Sarah Carroll, OTA
• Samuel Carson
• Clay A. Carter, PA

• Occupational Therapist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.