Kelsey Petrey, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

162403 Issued in KY

Practice address

287 N 11TH St
Williamsburg, KY 40769-1759

Phone

(606) 549-4321

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1245909035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 CORN CREEK CHURCH RD",
            "city": "WOODBINE",
            "state": "KY",
            "postal_code": "407719700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 N 11TH ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691759",
            "telephone_number": "606-549-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETREY",
        "first_name": "KELSEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "162403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Patrick, APRN
• Robert Lee Penn, MD
• Eddie Steely Perkins, D.O.
• Taylor R Perkins, PMHNP-BC
• Aaron Dewayne Petrey, PA-C
• Zachary Phillips, ATC, LAT
• Edward Jonathan Powers
• Roger Powers, PHARMACIST
• Preferred Healthcare Incorporated
• Lesleigh Gail Prewitt

• Occupational Therapist in Williamsburg, KY
• Providers in Williamsburg, 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 7, 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.