Active NPI
Kyndall Samantha Fox, OTR/L
- Occupational Therapist
- Evansville, IN
National Provider Identifier
1275293847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31007619A
- Practice address
- 3900 Washington Ave Ste 100a
Evansville, IN 47714-0550 - Phone
- (812) 485-7337
- NPI assigned
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IN | ||
| Occupational Therapist | 225X00000X | 31007619A | IN | Primary |
Addresses
Primary practice location
3900 Washington Ave Ste 100a
Evansville, IN 47714-0550
Mailing address
1205 S Villa Dr
Evansville, IN 47714-3249
Phone (812) 568-2966
Other practice location 1
10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone (812) 858-2121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksfox@phrehab.com | Direct |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1275293847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 S VILLA DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477143249",
"telephone_number": "812-568-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WASHINGTON AVE STE 100A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140550",
"telephone_number": "812-485-7337"
}
],
"practiceLocations": [
{
"address_1": "10455 Orthopaedic Dr",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307955",
"country_code": "US",
"telephone_number": "812-858-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "KYNDALL",
"middle_name": "SAMANTHA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31007619A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksfox@phrehab.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10455 Orthopaedic Dr",
"city": "Newburgh",
"state": "IN",
"country_code": "US",
"postal_code": "476307955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.