Individual provider Active NPI

Kathleen Ann Carley, M.S. O.T.R. L.

  • Occupational Therapist
  • Beverly, MA
National Provider Identifier
1811043847
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
872 Issued in MA
Practice address
500 Cummings Ctr
Suite 3850
Beverly, MA 01915-6142
Phone
(978) 232-0332
Fax
(978) 232-1103
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 872 MA Primary

Addresses

Primary practice location

500 Cummings Ctr
Suite 3850
Beverly, MA 01915-6142

Mailing address

35 Waterside Rd # B
Marblehead, MA 01945-1462
Phone (781) 631-5572

Other practice location 1

5 Centennial Dr
Peabody, MA 01960-7906
Phone (978) 232-0332

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)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1811043847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WATERSIDE RD # B",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451462",
            "telephone_number": "781-631-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR",
            "address_2": "SUITE 3850",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156142",
            "telephone_number": "978-232-0332",
            "fax_number": "978-232-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607906",
            "country_code": "US",
            "telephone_number": "978-232-0332",
            "fax_number": "978-232-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S. O.T.R. L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.