Active NPI
Kathlyn Reeves Cummings, MS, OTR/L
- Occupational Therapist
- Georgetown, KY
National Provider Identifier
1669932430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 240168
- Practice address
- 112 Dover Drive Dover Manor
Georgetown, KY 40324 - Phone
- (502) 863-9529
- NPI assigned
- Mar 20, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 240168 | KY | Primary |
Addresses
Primary practice location
112 Dover Drive Dover Manor
Georgetown, KY 40324
Mailing address
10133 Sherrill Blvd #200 Functional Pathways
Knoxville, TN 37932
Phone (888) 531-2204
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240168 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1669932430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10133 SHERRILL BLVD #200 FUNCTIONAL PATHWAYS",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37932",
"telephone_number": "888-531-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 DOVER DRIVE DOVER MANOR",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "40324",
"telephone_number": "502-863-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "KATHLYN",
"middle_name": "REEVES",
"name_prefix": "Miss",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "240168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.