Independence at Heart LLC

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

R0033 Issued in KY

Legal business name

INDEPENDENCE AT HEART LLC

Practice address

13003 Larkspur LN
Prospect, KY 40059-9714

Phone

(502) 387-4254

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kerrie J Anthony, OTR/LNPI 1801042627

Title

Owner/ Manager

Phone

(502) 387-4254

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerrie Jean Johnson Anthony, OTR/L

  • Neurorehabilitation Occupational Therapist
  • Prospect, KY
  • NPI 1801042627
  NPD (past) Authorized official

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1912386343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 LARKSPUR LN",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599714",
            "telephone_number": "502-387-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 LARKSPUR LN",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599714",
            "telephone_number": "502-387-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE AT HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "502-387-4254",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "KY",
            "license": "R0033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "7100338710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurorehabilitation Occupational Therapist in Prospect, KY
• Providers in Prospect, KY by specialty
• Neurorehabilitation Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.