Active NPI
Kevin Michael Carey
- Occupational Therapist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT01777
- Practice address
- 285 Promenade St
Providence, RI 02908-5794 - Phone
- (401) 777-7000
- Fax
- (401) 459-4010
- NPI assigned
- Aug 18, 2017
- Last updated
- Sep 12, 2019
- Sex
- Male
- 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 | OT01777 | RI | Primary |
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
285 Promenade St
Providence, RI 02908-5794
Mailing address
285 Promenade St
Providence, RI 02908-5794
Phone (401) 777-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4770 State Hwy 121
Suite 130
Lewisville, TX 75056-2913
Phone (469) 830-9030
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995
125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318
4770 State Highway 121
Ste 130
Lewisville, TX 75056
Phone (469) 664-0026
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Athletico Physical Therapy
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
Occupational Therapist, TX
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Occupational Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Sachse, TX
- NPI 1740748136
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1770009003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 PROMENADE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029085794",
"telephone_number": "401-777-7000",
"fax_number": "401-459-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 PROMENADE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029085794",
"telephone_number": "401-777-7000",
"fax_number": "401-459-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-18",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01777",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.