Tiffany Rae McIntyre, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R3186 Issued in KY

Practice address

1800 Old Bluegrass Ave
Louisville, KY 40215-1168

Phone

(502) 361-2301

NPI assigned

Feb 17, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1205801875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ZABEL WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911552",
            "telephone_number": "502-299-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 OLD BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151168",
            "telephone_number": "502-361-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "TIFFANY",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100313200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McIntyre Family Dental, Inc
• Courtney Taylor McIntyre, M.ED., BCBA, LBA
• Kasey Olivia McIntyre, OTR/L
• Kelley M. McIntyre, MD
• Marsha G McIntyre, DMD
• Thomas Wayne McKain, MD
• Natalie McKarris, RBT
• Fraser Douglas McKay, O.D.
• Lauren E McKay, LPCC
• Marian McKay, APRN, PMHNP, PMHCNS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.