Active NPI
Kary Jay Kepes
- Physical Therapy Assistant
- Chardon, OH
National Provider Identifier
1629492780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 02075
- Practice address
- 470 Center Street
2
Chardon, OH 44065 - Phone
- (440) 279-1700
- NPI assigned
- Feb 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 02075 | OH | Primary |
Addresses
Primary practice location
470 Center Street
2
Chardon, OH 44065
Mailing address
11170 Cory Lane
Newbury, OH 44065
Phone (440) 478-0842
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 |
|---|---|---|---|
| 02075 | OH | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1629492780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11170 CORY LANE",
"city": "NEWBURY",
"state": "OH",
"postal_code": "44065",
"telephone_number": "440-478-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 CENTER STREET",
"address_2": "2",
"city": "CHARDON",
"state": "OH",
"postal_code": "44065",
"telephone_number": "440-279-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPES",
"first_name": "KARY JAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "02075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.