Individual provider Active NPI

Melissa Kannady, OT

  • Hand Occupational Therapist
  • Louisville, KY
National Provider Identifier
1770974354
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
R3306 Issued in KY
Practice address
225 Abraham Flexner Way Ste 700
Louisville, KY 40202-3868
Phone
(502) 561-4295
Fax
(502) 562-0348
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R3306 KY
Hand Occupational Therapist 225XH1200X R3306 KY Primary

Addresses

Primary practice location

225 Abraham Flexner Way Ste 700
Louisville, KY 40202-3868

Mailing address

PO Box 740041
Dept 6150
Louisville, KY 40201-7441
Phone (502) 561-4295

Other identifiers 1

IdentifierTypeStateIssuer
7100334430MedicaidKY

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1770974354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740041",
            "address_2": "DEPT 6150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402017441",
            "telephone_number": "502-561-4295",
            "fax_number": "502-562-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023868",
            "telephone_number": "502-561-4295",
            "fax_number": "502-562-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNADY",
        "first_name": "MELISSA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3306",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KY",
            "license": "R3306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100334430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.