Individual provider Active NPI

Chelsea McNichols, OTR/L

  • Occupational Therapist
  • Fort Thomas, KY
National Provider Identifier
1386003721
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
BOTOCT00224829 Issued in KY
Practice address
654 Highland Ave Ste 17
Fort Thomas, KY 41075-1762
Phone
(859) 466-8416
NPI assigned
Feb 13, 2016
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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 BOTOCT00224829 KY Primary

Addresses

Primary practice location

654 Highland Ave Ste 17
Fort Thomas, KY 41075-1762

Mailing address

654 Highland Ave Ste 17
Fort Thomas, KY 41075-1762

Other practice location 1

352 Lauren Ln
Alexandria, KY 41001-8931
Phone (859) 468-1970

Other practice location 2

11 S Fort Thomas Ave Ste 5
Fort Thomas, KY 41075
Phone (859) 466-8416

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

State licenses

LicenseStateTypeSpecialty
BOTOCT00224829KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Twehues, LLC PastSince Apr 1, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1386003721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 HIGHLAND AVE STE 17",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 HIGHLAND AVE STE 17",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751762",
            "telephone_number": "859-466-8416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "352 Lauren Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "KY",
            "postal_code": "410018931",
            "country_code": "US",
            "telephone_number": "859-468-1970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 S Fort Thomas Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "41075",
            "country_code": "US",
            "telephone_number": "859-466-8416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNICHOLS",
        "first_name": "CHELSEA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-13",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "BOTOCT00224829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 3, 2020; 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.