Individual provider Active NPI

Christina Ciolek, OTR/L

  • Occupational Therapist
  • Richmond, KY
National Provider Identifier
1609380492
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
175449 Issued in KY
Practice address
2150 Lexington Rd
Richmond, KY 40475-7924
Phone
(859) 333-8147
NPI assigned
Dec 1, 2017
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Occupational Therapist 225X00000X 5847 TN
Occupational Therapist 225X00000X 175449 KY Primary

Addresses

Primary practice location

2150 Lexington Rd
Richmond, KY 40475-7924

Mailing address

432 Windemere Way
Richmond, KY 40475-8260
Phone (859) 408-1004

Other practice location 1

200 Tower Cir
Somerset, KY 42503-3480
Phone (606) 416-5139

Other practice location 2

8904 Cross Park Dr
Knoxville, TN 37923-4703
Phone (865) 539-9785

Other identifiers 1

IdentifierTypeStateIssuer
7100332170MedicaidKY

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
175449KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kid Spot Center Occupational Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1609380492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 WINDEMERE WAY",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758260",
            "telephone_number": "859-408-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LEXINGTON RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757924",
            "telephone_number": "859-333-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Tower Cir",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033480",
            "country_code": "US",
            "telephone_number": "606-416-5139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8904 Cross Park Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234703",
            "country_code": "US",
            "telephone_number": "865-539-9785",
            "fax_number": "865-694-3142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIOLEK",
        "first_name": "CHRISTINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5847",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "175449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100332170",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.