Individual provider Active NPI

Mackenzie Klay, COTA/L

  • Occupational Therapy Assistant
  • Tiffin, OH
National Provider Identifier
1922543586
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA006706 Issued in OH
Practice address
2550 S State Route 100
Tiffin, OH 44883-9356
Phone
(419) 447-7203
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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 OTA006706 OH Primary

Addresses

Primary practice location

2550 S State Route 100
Tiffin, OH 44883-9356

Mailing address

1944 Cottonwood St
Findlay, OH 45840-2746
Phone (419) 889-5655

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
OTA006706OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
P T Services Rehabilitation Inc Occupational Therapy Assistant Past Accepting new patients
P.T. Services Rehabilitation, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1922543586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 COTTONWOOD ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458402746",
            "telephone_number": "419-889-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S STATE ROUTE 100",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448839356",
            "telephone_number": "419-447-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAY",
        "first_name": "MACKENZIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA006706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.