Organization Active NPI

Carrico Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Owensboro, KY
National Provider Identifier
1891256251
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CARRICO THERAPY SERVICES LLC
Practice address
122 E 18TH St
Owensboro, KY 42303-3751
Phone
(270) 926-2212
Fax
(270) 926-2215
NPI assigned
Mar 28, 2019
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Kelsey A Carrico, MS, OTR/LNPI 1205354560
Title
Owner
Phone
(270) 926-2212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Rehabilitation Clinic/Center 261QR0400X NU

Addresses

Primary practice location

122 E 18TH St
Owensboro, KY 42303-3751

Mailing address

122 E 18TH St
Owensboro, KY 42303-3751
Phone (270) 926-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190724000725 KY Part B Supplier - Clinic/Group Practice 7012243470 Receives reassigned benefits from 4 practitioners
Practice locations: Owensboro, KY
O20190926000981 KY DME Supplier - Independently-Practicing Occupational Therapist 7012243470 Practice locations: Owensboro, KY

National Provider Directory

National Provider Directory

Locations

122 E 18th St
Owensboro, KY 42303
Phone (270) 926-2212

3221 Frederica St
Ste B
Owensboro, KY 42301
Phone (270) 215-7755

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1891256251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 18TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033751",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 18TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033751",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRICO THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-2212",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.