Individual provider Active NPI

Aireal Ishola

  • Pediatric Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1699196477
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT008508 Issued in OH
Practice address
8595 Beechmont Ave Ste 202
Cincinnati, OH 45255-5415
Phone
(513) 278-7006
Fax
(513) 440-7926
NPI assigned
Dec 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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
Pediatric Occupational Therapist 225XP0200X OT008508 OH Primary

Addresses

Primary practice location

8595 Beechmont Ave Ste 202
Cincinnati, OH 45255-5415

Mailing address

1013 Chestnut LN
Cincinnati, OH 45230-3595
Phone (614) 670-2611

Other practice location 1

156 Granville St
Columbus, OH 43230-6505
Phone (614) 470-6240

Other practice location 2

10999 Reed Hartman Hwy Ste 216
Blue Ash, OH 45242-8301
Phone (513) 349-4919

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

LicenseStateTypeSpecialty
OT008508OHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Pediatric Therapy, LLC Pediatrics CurrentSince Dec 1, 2020 Accepting new patients

Locations

8595 Beechmont Ave
Ste 202
Cincinnati, OH 45255
Phone (513) 278-7006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1699196477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHESTNUT LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452303595",
            "telephone_number": "614-670-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE STE 202",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452555415",
            "telephone_number": "513-278-7006",
            "fax_number": "513-440-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Granville St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432306505",
            "country_code": "US",
            "telephone_number": "614-470-6240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10999 Reed Hartman Hwy Ste 216",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452428301",
            "country_code": "US",
            "telephone_number": "513-349-4919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHOLA",
        "first_name": "AIREAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT008508",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 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.