Kelly Anne Scott, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R3522 Issued in KY

Practice address

3761 Johnson Hall Dr
Masonic Home, KY 40041-9998

Phone

(502) 633-1007

NPI assigned

Mar 1, 2007

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• New Horizons Therapy

  • Pediatric Occupational Therapist
  • Louisville, KY
  • NPI 1225558000
  NPD Authorized official
• Life Skill Building PLLC

  • Specialist
  • Louisville, KY
  • NPI 1144501164
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1861520967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SUMMERFIELD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203329",
            "telephone_number": "502-295-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 JOHNSON HALL DR",
            "city": "MASONIC HOME",
            "state": "KY",
            "postal_code": "400419998",
            "telephone_number": "502-633-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "APT 90 Howard Dr",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400658138",
            "country_code": "US",
            "telephone_number": "502-633-1007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 Summerfield Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402203329",
            "country_code": "US",
            "telephone_number": "502-584-9781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Howard Dr",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400658138",
            "country_code": "US",
            "telephone_number": "502-633-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Masonic Home, KY
• Providers in Masonic Home, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.