Active NPI
Kelsey Puckett, OTR
- Occupational Therapist
- Greensburg, IN
National Provider Identifier
1710313465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005581A
- Practice address
- 720 N Lincoln St
Greensburg, IN 47240 - Phone
- (812) 593-1989
- NPI assigned
- Sep 25, 2013
- 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 | 31005581A | IN | Primary |
Addresses
Primary practice location
720 N Lincoln St
Greensburg, IN 47240
Mailing address
914 S Fairway Dr
Greensburg, IN 47240-7633
Phone (812) 593-1989
Other practice location 1
720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 593-1989
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 |
|---|---|---|---|
| 31005581A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1710313465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 S FAIRWAY DR",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "472407633",
"telephone_number": "812-593-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N LINCOLN ST",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "47240",
"telephone_number": "812-593-1989"
}
],
"practiceLocations": [
{
"address_1": "720 N Lincoln St",
"address_purpose": "LOCATION",
"city": "Greensburg",
"state": "IN",
"postal_code": "472401327",
"country_code": "US",
"telephone_number": "812-593-1989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUCKETT",
"first_name": "KELSEY",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005581A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.