Killian Ayscue Calton

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16389 Issued in NC

Practice address

186 Wind Chime CT Ste 104
Raleigh, NC 27615-6486

Phone

(919) 870-1280

NPI assigned

Nov 29, 2023

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

• Killian Ayscue Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab OT NC LLCGroup PAC ID 2961853379, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fox Rehab OT NC LLC

  • Occupational Therapist
  • Matthews, NC
  • NPI 1053199117

  NC, Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1235905464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 PITCHING WEDGE DR APT 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032858",
            "telephone_number": "704-678-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 WIND CHIME CT STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156486",
            "telephone_number": "919-870-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALTON",
        "first_name": "KILLIAN AYSCUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab OT NC LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2008 Moore Rd",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KILLIAN",
            "last_name": "AYSCUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ginger Conkle Calloway, PH.D.
• Kaleigh Calloway
• Nathan Hamilton Calloway, MD
• Calm and Centered Counseling, PLLC
• Calm Horizon Integrative Psychiatry PLLC
• Stella Unabia Calungsud, PT
• Troy Calungsud, PT, DPT
• Calvary Home Health, LLC
• Debra Renee Calvert, PHARMD
• Kathryn Anne Wood Calvillo, CNM

• All providers in Raleigh, NC
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.