Active NPI
Chad O'Keefe Childers, COTA/L
- Occupational Therapy Assistant
- Ashland, KY
National Provider Identifier
1437907417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 288729
- Practice address
- 5850 US 60
Suite B
Ashland, KY 41102 - Phone
- (606) 928-0108
- NPI assigned
- May 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 288729 | KY | Primary |
Addresses
Primary practice location
5850 US 60
Suite B
Ashland, KY 41102
Mailing address
53 Township Road 1020
South Point, OH 45680-7871
Phone (304) 634-7617
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 |
|---|---|---|---|
| 288729 | KY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1437907417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 TOWNSHIP ROAD 1020",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456807871",
"telephone_number": "304-634-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 US 60",
"address_2": "SUITE B",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41102",
"telephone_number": "606-928-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "CHAD",
"middle_name": "O'KEEFE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "288729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.