Kyle D Kish

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT009561 Issued in OH

Practice address

6545 Market Ave N Ste 100
Canton, OH 44721-2430

Phone

(440) 773-7647

NPI assigned

Jan 8, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• JH Therapy Services

  • Occupational Therapist
  • Cincinnati, OH
  • NPI 1013732122
  NPD
• JH Therapy Services

  • Occupational Therapist
  • Lapeer, MI
  • NPI 1104618180
  NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1740820703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 MARKET AVE N STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 MARKET AVE N STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430",
            "telephone_number": "440-773-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH",
        "first_name": "KYLE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT009561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Kirkland, LSW
• Jessica Kirkpatrick
• Danene Kirksey
• Nicole Dayna Kirksey
• Susan L Kirksey, LPCC, LICDC
• Odin Azazel Kisner
• Ceceilia Nichole Kissel, PA-C
• Raven Kiyota-Au
• Brianna D Kleckner, LPC
• Erika Kleis, CRC

• Occupational Therapist in Canton, OH
• Providers in Canton, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.