Active NPI
Kylie Jeffrey, OTR/L
- Occupational Therapist
- Arden, NC
National Provider Identifier
1417314394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10045
- Practice address
- 15 N Oak Ter
Arden, NC 28704-2946 - Phone
- (847) 849-6360
- NPI assigned
- Jan 22, 2016
- Last updated
- Aug 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 10045 | NC | |
| Occupational Therapist | 225X00000X | 10045 | NC | Primary |
Addresses
Primary practice location
15 N Oak Ter
Arden, NC 28704-2946
Mailing address
651 Flint Hill Rd
Alexander, NC 28701-9656
Phone (847) 849-6360
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 |
|---|---|---|---|
| 10045 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playspark Therapy | Occupational Therapist | Current | 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": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1417314394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 FLINT HILL RD",
"city": "ALEXANDER",
"state": "NC",
"postal_code": "287019656",
"telephone_number": "847-849-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N OAK TER",
"city": "ARDEN",
"state": "NC",
"postal_code": "287042946",
"telephone_number": "847-849-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "KYLIE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "10045",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.