Individual provider Active NPI

Elizabeth Kelly Rhodus, MS, OTR/L

  • Occupational Therapist
  • Richmond, KY
National Provider Identifier
1902151285
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R-5661 Issued in KY
Practice address
370 Highland Park Dr Ste 1
Richmond, KY 40475-3546
Phone
(859) 623-4567
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 15319 FL
Occupational Therapist 225X00000X 15319 FL
Occupational Therapist 225X00000X R-5661 KY Primary

Addresses

Primary practice location

370 Highland Park Dr Ste 1
Richmond, KY 40475-3546

Mailing address

370 Highland Park Dr Ste 1
Richmond, KY 40475-3546
Phone (859) 623-4567

Other identifiers 4

IdentifierTypeStateIssuer
K090590OtherMEDICARE ID
006789200MedicaidFL
880357904OtherFLOCA
880357900OtherFLOCA

Other names 1

  • Ms. Elizabeth Kelly Miller Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R-5661KYMDOccupational Therapist
15319FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1902151285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HIGHLAND PARK DR STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753546",
            "telephone_number": "859-623-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HIGHLAND PARK DR STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753546",
            "telephone_number": "859-623-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODUS",
        "first_name": "ELIZABETH",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "15319",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "15319",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R-5661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "K090590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006789200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCA",
            "identifier": "880357904",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCA",
            "identifier": "880357900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MILLER",
            "middle_name": "KELLY",
            "prefix": "MS.",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.