Active NPI
Kelly Jones
- Occupational Therapist
- Beaufort, SC
National Provider Identifier
1851036362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6495
- Practice address
- 1 Country Club Dr
Beaufort, SC 29907-1112 - Phone
- (978) 290-9707
- NPI assigned
- Apr 29, 2022
- 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 | 6495 | SC | Primary |
Addresses
Primary practice location
1 Country Club Dr
Beaufort, SC 29907-1112
Mailing address
1 Country Club Dr
Beaufort, SC 29907-1112
Phone (978) 290-9707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S92880553 | Other | MA | DRIVERS LICENSE NUMBER |
Other names 1
- Kelly Duchane
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | myworkday.com | Direct | Fox Rehabilitation Services,LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1851036362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COUNTRY CLUB DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299071112",
"telephone_number": "978-290-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COUNTRY CLUB DR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299071112",
"telephone_number": "978-290-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE NUMBER",
"identifier": "S92880553",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "myworkday.com",
"affiliation": "Y",
"endpointDescription": "Buisness chat",
"affiliationName": "Fox Rehabilitation Services,LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "correspondence for appointments, and clinicians",
"address_1": "999 Old Eagle School Rd # Site106",
"city": "Wayne",
"state": "PA",
"country_code": "US",
"postal_code": "190871707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KELLY",
"last_name": "DUCHANE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.