Individual provider Active NPI

Arial Conn, OTR/L

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1487400263
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
165866 Issued in KY
Practice address
330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone
(859) 447-8600
Fax
(859) 447-8599
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 165866 KY Primary

Addresses

Primary practice location

330 Waller Ave Ste 275
Lexington, KY 40504-2930

Mailing address

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600

Other identifiers 1

IdentifierTypeStateIssuer
7100873140MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528000667 KY Practitioner - Occupational Therapist in Private Practice 5395187009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Hand TherapyGroup PAC ID 0446548119, 36 clinicians

Practice addresses (Care Compare)

330 Waller Ave
Suite 275
Lexington, KY 40504-2930
Phone (859) 447-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
165866KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Hand Therapy Occupational Therapist CurrentSince Apr 29, 2024 Accepting new patients
Commonwealth Hand Therapy Occupational Therapist CurrentSince Apr 29, 2024 Accepting new patients

Locations

127 Clay Dr
Berea, KY 40403
Phone (859) 756-3281

105 Lawson Dr
Ste 4
Georgetown, KY 40324
Phone (502) 642-5400

2443 Sir Barton Way
Ste 125
Lexington, KY 40509
Phone (859) 551-3381

330 Waller Ave
Ste 275
Lexington, KY 40504
Phone (859) 447-8599

100 Bacho Way
Ste 300
London, KY 40741
Phone (606) 657-0733

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1487400263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WALLER AVE STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042930",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WALLER AVE STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042930",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN",
        "first_name": "ARIAL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "165866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100873140",
            "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 May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.