Individual provider Active NPI

Meredith Joan Johnson, OTR/L

  • Occupational Therapist
  • Fort Thomas, KY
National Provider Identifier
1245969849
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
363868 Issued in KY
Practice address
18 N Fort Thomas Ave Ste 302
Fort Thomas, KY 41075-1595
Phone
(859) 441-0139
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 363868 KY Primary

Addresses

Primary practice location

18 N Fort Thomas Ave Ste 302
Fort Thomas, KY 41075-1595

Mailing address

14013 Bridlegate Dr
Union, KY 41091-7563
Phone (859) 815-9196

Other practice location 1

14013 Bridlegate Dr
Union, KY 41091-7563
Phone (859) 815-9196

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL laptop
Other URL laptop
CONNECT URL laptop Direct Kelly Twehues, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
363868KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Twehues, LLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

18 N Fort Thomas Ave
Ste 302
Fort Thomas, KY 41075
Phone (859) 441-0139

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1245969849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14013 BRIDLEGATE DR",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917563",
            "telephone_number": "859-815-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FORT THOMAS AVE STE 302",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751595",
            "telephone_number": "859-441-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14013 Bridlegate Dr",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "KY",
            "postal_code": "410917563",
            "country_code": "US",
            "telephone_number": "859-815-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEREDITH",
        "middle_name": "JOAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "363868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14013 Bridlegate Dr",
            "city": "Union",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410917563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "14013 Bridlegate Dr",
            "city": "Union",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410917563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "Y",
            "endpointDescription": "laptop",
            "affiliationName": "Kelly Twehues, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18 N Fort Thomas Ave Ste 302",
            "city": "Fort Thomas",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410751595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.