Individual provider Active NPI

Kelly McCarron, OTR/L

  • Occupational Therapist
  • Indiana, PA
National Provider Identifier
1528218922
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC002630L Issued in PA
Practice address
520 Philadelphia St
Indiana, PA 15701-3902
Phone
(724) 463-7478
Fax
(724) 463-0931
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 OC002630L PA Primary

Addresses

Primary practice location

520 Philadelphia St
Indiana, PA 15701-3902

Mailing address

2100 Garden Dr
Suite 101
Seven Fields, PA 16046-7870
Phone (724) 742-2727

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC002630LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation Systems, LLC PastSince Oct 1, 2017 Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Past Accepting new patients

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1528218922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GARDEN DR",
            "address_2": "SUITE 101",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467870",
            "telephone_number": "724-742-2727",
            "fax_number": "724-742-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013902",
            "telephone_number": "724-463-7478",
            "fax_number": "724-463-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "KELLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC002630L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.