Active NPI
Kathy G Armstrong, O.T.
- Occupational Therapist
- Grenada, MS
National Provider Identifier
1356459101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008
- Practice address
- 1300 Sunset Dr
Suite F
Grenada, MS 38901-4086 - Phone
- (662) 226-5747
- Fax
- (662) 226-5622
- NPI assigned
- Aug 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008 | MS | Primary |
Addresses
Primary practice location
1300 Sunset Dr
Suite F
Grenada, MS 38901-4086
Mailing address
1300 Sunset Dr
Suite F
Grenada, MS 38901-4086
Phone (662) 226-5747
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700994738 | Other | MS | PECOS |
| 640835695 | Other | MS | BC/BS OF MISSISSIPPI |
| OT008 | Other | MS | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT008 | MS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1356459101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SUNSET DR",
"address_2": "SUITE F",
"city": "GRENADA",
"state": "MS",
"postal_code": "389014086",
"telephone_number": "662-226-5747",
"fax_number": "662-226-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SUNSET DR",
"address_2": "SUITE F",
"city": "GRENADA",
"state": "MS",
"postal_code": "389014086",
"telephone_number": "662-226-5747",
"fax_number": "662-226-5622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "KATHY",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PECOS",
"identifier": "1700994738",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MISSISSIPPI",
"identifier": "640835695",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OT008",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grenada, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.