Individual provider Active NPI

Joy Elizabeth Caldwell, OTR/L

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1407936123
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R2514 Issued in KY
Practice address
3881 Branham Park
Lexington, KY 40515-5607
Phone
(859) 750-2596
NPI assigned
Oct 17, 2006
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 R2514 KY Primary

Addresses

Primary practice location

3881 Branham Park
Lexington, KY 40515-5607

Mailing address

3881 Branham Park
Lexington, KY 40515-5607
Phone (859) 750-2596

Other practice location 1

1021 Deer Crossing Way
Lexington, KY 40509-2061
Phone (859) 750-2596

Other identifiers 1

IdentifierTypeStateIssuer
R2514OtherKYOT 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

LicenseStateTypeSpecialty
R2514KYMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1407936123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3881 BRANHAM PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155607",
            "telephone_number": "859-750-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 BRANHAM PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155607",
            "telephone_number": "859-750-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Deer Crossing Way",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092061",
            "country_code": "US",
            "telephone_number": "859-750-2596",
            "fax_number": "859-523-5338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JOY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE #",
            "identifier": "R2514",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.