Active NPI
Jean Kelley, OT
- Occupational Therapist
- Lawrenceburg, TN
National Provider Identifier
1528070372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2148
- Practice address
- 374 Brink St
Lawrenceburg, TN 38464-3280 - Phone
- (931) 762-6548
- NPI assigned
- Aug 12, 2006
- 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 | OT2148 | TN | Primary |
Addresses
Primary practice location
374 Brink St
Lawrenceburg, TN 38464-3280
Mailing address
1102 5TH Ave
Lawrenceburg, TN 38464-2780
Phone (931) 762-5593
Other names 1
- Mrs. Jean Macleod
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 |
|---|---|---|---|
| OT2148 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1528070372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 5TH AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642780",
"telephone_number": "931-762-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 BRINK ST",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643280",
"telephone_number": "931-762-6548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT2148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "MACLEOD",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.