Active NPI
Alicia Vincent, OTR/L
- Pediatric Occupational Therapist
- Bardstown, KY
National Provider Identifier
1740922319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 115 S Salem Dr
Bardstown, KY 40004-1762 - Phone
- (502) 331-5478
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 276760 | KY | |
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
115 S Salem Dr
Bardstown, KY 40004-1762
Mailing address
3103 Rockaway Dr
Louisville, KY 40216-1935
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES KY LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Louisville, KY 40272
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276760 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Ky LLC | Occupational Therapist | Current | Accepting new patients |
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Associates in Pediatric Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
4501 Louise Underwood Way
Louisville, KY 40216
Phone (502) 368-2348
Organizations & group practices 4
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.
-
- Physical Therapist
- Louisville, KY
- NPI 1811754112
Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1326467986
-
- Skilled Nursing Facility
- Radcliff, KY
- NPI 1043686900
-
- Rehabilitation Clinic/Center
- Shelbyville, KY
- NPI 1396910840
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1740922319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 ROCKAWAY DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402161935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S SALEM DR",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041762",
"telephone_number": "502-331-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "ALICIA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "276760",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "FOX REHABILITATION SERVICES KY LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "9251 Stonestreet Rd",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402722858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.