Individual provider Active NPI

Carey Ann Broughton, OTR

  • Occupational Therapist
  • Owensboro, KY
National Provider Identifier
1467618587
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R2387 Issued in KY
Practice address
3221 Frederica St
Suite B
Owensboro, KY 42301-6086
Phone
(270) 926-2212
Fax
(270) 926-2215
NPI assigned
Jul 29, 2008
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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 R2387 KY Primary

Addresses

Primary practice location

3221 Frederica St
Suite B
Owensboro, KY 42301-6086

Mailing address

3221 Frederica St
Suite B
Owensboro, KY 42301-6086
Phone (270) 926-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000488 KY Practitioner - Occupational Therapist in Private Practice 1759430523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation LLC CurrentSince Feb 15, 2024 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Feb 15, 2024 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Current Accepting new patients

Locations

113 Central Shopping Ctr
Campbellsville, KY 42718
Phone (270) 469-1076

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

3415 New Hartford Rd
Owensboro, KY 42303
Phone (270) 684-7856

3415 New Hartford Rd
Unit 2
Owensboro, KY 42303
Phone (270) 684-7856

Organizations & group practices 3

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1467618587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST",
            "address_2": "SUITE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST",
            "address_2": "SUITE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "CAREY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.