Active NPI
Kelly Lynn Irvine, MS OTRL
- Occupational Therapist
- Grove City, PA
National Provider Identifier
1558567685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009548
- Practice address
- 453 Maple St
Grove City, PA 16127-2324 - Phone
- (724) 988-9648
- NPI assigned
- Jun 25, 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 | OC009548 | PA | Primary |
Addresses
Primary practice location
453 Maple St
Grove City, PA 16127-2324
Mailing address
52 Poplar Rd
Greenville, PA 16125-9246
Phone (724) 589-0547
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC009548 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558567685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 POPLAR RD",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161259246",
"telephone_number": "724-589-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 MAPLE ST",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161272324",
"telephone_number": "724-988-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVINE",
"first_name": "KELLY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grove City, PA
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.