Active NPI
Kyle W Barrett, OT
- Occupational Therapist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 24465 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheshire Fitness Zone, LLC | Current | 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.
-
- Pediatric Physical Therapist
- Cheshire, CT
- NPI 1205961547
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.