Kiley Rose Defibaugh, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

1894 Issued in WV

Practice address

4906 Boxwood Dr
Charleston, WV 25306-6302

Phone

(304) 830-1064

NPI assigned

Jan 15, 2020

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1750921987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 BOXWOOD DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253066302",
            "telephone_number": "304-830-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 BOXWOOD DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253066302",
            "telephone_number": "304-830-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFIBAUGH",
        "first_name": "KILEY",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WV",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Gray Deem, DO
• Timothy Ray Deer, MD
• Kelly Dees
• Kory Dees
• Chealse Deese
• Dana Frances Degeorge, PA-C
• Amy Robin Deipolyi, M.D., PH.D.
• Guadalupe Dejesus
• Augusta Kay Dejong
• Anthony Michael Del Zotto, DO

• Physical Rehabilitation Occupational Therapist in Charleston, WV
• Providers in Charleston, WV by specialty
• Physical Rehabilitation Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.