Individual provider Active NPI

Kyle W Barrett, OT

  • Occupational Therapist
  • Fresno, CA
National Provider Identifier
1578138509
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24465 Issued in CA
Practice address
577 S Peach Ave
Fresno, CA 93727-3952
Phone
(559) 251-8463
NPI assigned
May 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 24465 CA Primary

Addresses

Primary practice location

577 S Peach Ave
Fresno, CA 93727-3952

Mailing address

7178 N Fruit Ave
Fresno, CA 93711-0738
Phone (860) 933-1943

Other practice location 1

382 S Main St
Cheshire, CT 06410-1379
Phone (203) 250-9663

Other practice location 2

1064 E Main St Fl 3
Meriden, CT 06450-4898
Phone (203) 440-3750

Other practice location 3

308 Racebrook Road
Orange, CT 06477-9976
Phone (203) 920-1885

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
24465CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Fitness Zone, LLC CurrentSince May 1, 2021 Accepting new patients

Locations

382 S Main St
Cheshire, CT 06410

1064 E Main St
Fl 3
Meriden, CT 06450
Phone (203) 237-1818

308 Racebrook Rd
Orange, CT 06477
Phone (203) 920-1885

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1578138509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7178 N FRUIT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110738",
            "telephone_number": "860-933-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 S PEACH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273952",
            "telephone_number": "559-251-8463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064101379",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 E Main St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504898",
            "country_code": "US",
            "telephone_number": "203-440-3750",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Racebrook Road",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064779976",
            "country_code": "US",
            "telephone_number": "203-920-1885",
            "fax_number": "203-920-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KYLE",
        "middle_name": "W",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.