Kelsey Petrey, OTR/L

Key facts

NPI

1245909035

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

162403 (KY)

Practice address

287 N 11TH St
Williamsburg, KY 40769-1759

Phone

(606) 549-4321

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 7, 2021.

{
    "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": []
}

Other providers in Williamsburg, KY

• 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

All providers in Williamsburg, KY · Occupational Therapist in Kentucky