Individual provider Active NPI

Kaitlin Hancock Upton, MS, OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1871006130
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
266639 Issued in KY
Practice address
8225 Whipps Mill Rd
Louisville, KY 40222-5482
Phone
(775) 367-6937
NPI assigned
Nov 8, 2017
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 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 266639 KY Primary

Addresses

Primary practice location

8225 Whipps Mill Rd
Louisville, KY 40222-5482

Mailing address

1379 Players Club Cir
Gulf Breeze, FL 32563-3521
Phone (775) 367-6937

Other practice location 1

3192 Dunwick Dr
Johns Island, SC 29455-8431
Phone (502) 644-3224

Other names 1

  • Kaitlin Marie Hancock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304002853 KY Practitioner - Occupational Therapist in Private Practice 7517220429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1105 Dorsey LN
Louisville, KY 40223-2614
Phone (502) 290-6246

1760 Plantside Dr
Louisville, KY 40299-1916
Phone (502) 557-6540

8021 Christian CT
Louisville, KY 40222-9050
Phone (502) 515-6835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5112SCMDChiropractor
266639KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 22, 2021 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 22, 2021 Accepting new patients
Next PT Group Kentucky, LLC Occupational Therapist CurrentSince Mar 8, 2021 Accepting new patients

Locations

6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1871006130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 PLAYERS CLUB CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633521",
            "telephone_number": "775-367-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 WHIPPS MILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225482",
            "telephone_number": "775-367-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3192 Dunwick Dr",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294558431",
            "country_code": "US",
            "telephone_number": "502-644-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPTON",
        "first_name": "KAITLIN",
        "middle_name": "HANCOCK",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "266639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "HANCOCK",
            "middle_name": "MARIE",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.