Individual provider Active NPI

Kaylin Gene Lynch, OT

  • Occupational Therapist
  • Gentry, AR
National Provider Identifier
1609488758
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
302 W 2ND St
Gentry, AR 72734-5502
Phone
(479) 640-1770
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OK
Occupational Therapist 225X00000X AR Primary

Addresses

Primary practice location

302 W 2ND St
Gentry, AR 72734-5502

Mailing address

210 Park Cir
Gentry, AR 72734-8618
Phone (479) 640-1770

Other practice location 1

12520 Cripps Rd
Gentry, AR 72734-8851
Phone (479) 640-1770

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

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1609488758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PARK CIR",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727348618",
            "telephone_number": "479-640-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 2ND ST",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727345502",
            "telephone_number": "479-640-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12520 Cripps Rd",
            "address_purpose": "LOCATION",
            "city": "Gentry",
            "state": "AR",
            "postal_code": "727348851",
            "country_code": "US",
            "telephone_number": "479-640-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KAYLIN",
        "middle_name": "GENE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gentry, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.