Active NPI
Elizabeth Kelly Rhodus, MS, OTR/L
- Occupational Therapist
- Richmond, KY
National Provider Identifier
1902151285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R-5661
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K090590 | Other | MEDICARE ID | |
| 006789200 | Medicaid | FL | |
| 880357904 | Other | FL | OCA |
| 880357900 | Other | FL | OCA |
Other names 1
- Ms. Elizabeth Kelly Miller
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
| License | State | Type | Specialty |
|---|---|---|---|
| R-5661 | KY | MD | Occupational Therapist |
| 15319 | FL | MD | Pediatric 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.