Active NPI
Kathleen Ann Carley, M.S. O.T.R. L.
- Occupational Therapist
- Beverly, MA
National Provider Identifier
1811043847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 872
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.