Active NPI
Amy Elizabeth Kelly, OTR
- Occupational Therapist
- Cincinnati, OH
National Provider Identifier
1477765592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5051
- Practice address
- 8650 Governor's Hill Drive
Suite 180
Cincinnati, OH 45242 - Phone
- (513) 677-6460
- NPI assigned
- May 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5051 | OH | Primary |
Addresses
Primary practice location
8650 Governor's Hill Drive
Suite 180
Cincinnati, OH 45242
Mailing address
1892 Edgewater Drive
Cincinnati, OH 45240
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 |
|---|---|---|---|
| 5051 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477765592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1892 EDGEWATER DRIVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 GOVERNOR'S HILL DRIVE",
"address_2": "SUITE 180",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-677-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "5051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.