Individual provider Active NPI

Kelli D. Silcox

  • Occupational Therapist
  • McCordsville, IN
National Provider Identifier
1891468484
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31003019A Issued in IN
Practice address
8505 N. Clearview Drive
McCordsville, IN 46055
Phone
(317) 335-6939
Fax
(317) 336-5296
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 31003019A IN Primary

Addresses

Primary practice location

8505 N. Clearview Drive
McCordsville, IN 46055

Mailing address

1 Memorial SQ Ste 50
Greenfield, IN 46140-1357
Phone (317) 468-6164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902000251 IN Practitioner - Occupational Therapist in Private Practice 3678979465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Regional HospitalGroup PAC ID 1850205162, 8 clinicians

Practice addresses (Care Compare)

888 W New Rd
Greenfield Well Ctr
Greenfield, IN 46140-7304
Phone (317) 468-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31003019AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Regional Hospital Current Accepting new patients
Hancock Regional Hospital Past Accepting new patients
Hancock Physician Network, LLC Past Accepting new patients

Locations

801 N State St
Ste 205
Greenfield, IN 46140
Phone (317) 325-2699

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1891468484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQ STE 50",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401357",
            "telephone_number": "317-468-6164",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 N. CLEARVIEW DRIVE",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "46055",
            "telephone_number": "317-335-6939",
            "fax_number": "317-336-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILCOX",
        "first_name": "KELLI",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003019A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.