Individual provider Active NPI

Danielle McKenzie Watt, OTR/L

  • Occupational Therapist
  • Crestview Hills, KY
National Provider Identifier
1407562234
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
282355 Issued in KY
Practice address
330 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3421
Phone
(859) 426-5666
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 282355 KY Primary

Addresses

Primary practice location

330 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3421

Mailing address

406 Timberlake Ave
Erlanger, KY 41018-2240
Phone (859) 250-6546

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
282355KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Ahead Pediatric Therapy PLLC CurrentSince Jan 29, 2023 Accepting new patients

Locations

330 Thomas More Pkwy
Ste 102
Crestview Hills, KY 41017
Phone (859) 344-6000

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1407562234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 TIMBERLAKE AVE",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182240",
            "telephone_number": "859-250-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 THOMAS MORE PKWY STE 102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173421",
            "telephone_number": "859-426-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATT",
        "first_name": "DANIELLE",
        "middle_name": "MCKENZIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "282355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.