Individual provider Active NPI

Kristi B. Phillips, COTA/L

  • Occupational Therapy Assistant
  • Owens Cross Roads, AL
National Provider Identifier
1902430598
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5192 Issued in AL
Practice address
327 Old Highway 431 Ste C
Owens Cross Roads, AL 35763-9474
Phone
(256) 517-9277
Fax
(256) 517-9279
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5192 AL Primary

Addresses

Primary practice location

327 Old Highway 431 Ste C
Owens Cross Roads, AL 35763-9474

Mailing address

327 Old Highway 431 Ste C
Owens Cross Roads, AL 35763-9474
Phone (256) 517-9277

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5192ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1902430598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 OLD HIGHWAY 431 STE C",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639474",
            "telephone_number": "256-517-9277",
            "fax_number": "256-517-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 OLD HIGHWAY 431 STE C",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639474",
            "telephone_number": "256-517-9277",
            "fax_number": "256-517-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRISTI",
        "middle_name": "B.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AL",
            "license": "5192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.