Kaylee M Johnson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC011094 Issued in PA

Practice address

406 Delaware Ave
Bethlehem, PA 18015-1469

Phone

(484) 241-4220

NPI assigned

Apr 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kaylee M Hassick Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Restoration Space LLC

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1063927978
  Medicare reassignment NPD

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1366732109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 DELAWARE AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151469",
            "telephone_number": "484-241-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DELAWARE AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151469",
            "telephone_number": "484-241-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 Brandywine Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804278",
            "country_code": "US",
            "telephone_number": "610-436-3600 x29",
            "fax_number": "610-436-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLEE",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2692",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "HASSICK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Joseph Johnson, MD
• Barbara Johnson, LCSW
• Brandon Trae Johnson, RN
• Gina Johnson, LBS, BCBA
• India Johnson, MS
• Mallory Johnson, M.S. SLP - CF
• Matthew Todd Johnson, DPT
• Melissa Johnson, LCSW
• Meredith Alyse Johnson, PA-C
• Merlyn George Johnson, MD

• Occupational Therapist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.