NPIMap

Individual provider Active NPI

Kelli Prather

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1609981984
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-006158 Issued in OH
Practice address
1821 Summit Rd Ste 105
Cincinnati, OH 45237-2818
Phone
(513) 258-9586
NPI assigned
Aug 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 013794 NY
Occupational Therapist 225X00000X OT-006158 OH Primary

Addresses

Primary practice location

1821 Summit Rd Ste 105
Cincinnati, OH 45237-2818

Mailing address

PO Box 141049
Cincinnati, OH 45250-1049
Phone (513) 258-9586

Other practice location 1

1225 Budd St
Cincinnati, OH 45203-1012
Phone (513) 258-9586

Other identifiers 2

IdentifierTypeStateIssuer
OT-006158OtherOHOCCUPATIONAL THERAPIST
013794-1OtherNYOCCUPATIONAL THERAPIST

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OT-006158OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Home Healthcare Solutions Current Accepting new patients
Enhanced Healthcare Solutions Past Accepting new patients
Tender Touch Physical Therapy PLLC Past Accepting new patients
Yuriy Markhasin OT PC Occupational Therapist Past Accepting new patients

Locations

791 E McMillan St
Cincinnati, OH 45206
Phone (513) 235-5286

Organizations & group practices 7

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609981984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141049",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452501049",
            "telephone_number": "513-258-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SUMMIT RD STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452372818",
            "telephone_number": "513-258-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Budd St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452031012",
            "country_code": "US",
            "telephone_number": "513-258-9586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "KELLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013794",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-006158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT-006158",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "013794-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.