Individual provider Active NPI

Pamela S. Ryan, OTR

  • Occupational Therapist
  • Fort Knox, KY
National Provider Identifier
1538486873
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009011528 Issued in MO
Practice address
289 Ireland Ave Headquarters US Army Medical Department
Ireland Hospital Occupational Therapy Dept.
Fort Knox, KY 40121-5520
Phone
(502) 624-9007
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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 2009011528 MO Primary

Addresses

Primary practice location

289 Ireland Ave Headquarters US Army Medical Department
Ireland Hospital Occupational Therapy Dept.
Fort Knox, KY 40121-5520

Mailing address

906 Indian Hills Dr
Elizabethtown, KY 42701-2006
Phone (314) 395-3215

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

LicenseStateTypeSpecialty
2009011528MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Head Injury Services Past Accepting new patients

Organizations & group practices 1

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1538486873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 INDIAN HILLS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012006",
            "telephone_number": "314-395-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 IRELAND AVE HEADQUARTERS US ARMY MEDICAL DEPARTMENT",
            "address_2": "IRELAND HOSPITAL OCCUPATIONAL THERAPY DEPT.",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401215520",
            "telephone_number": "502-624-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PAMELA",
        "middle_name": "S.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009011528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Knox, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.