Active NPI
Kristopher Parrish, OT
- Environmental Modification Occupational Therapist
- Blacklick, OH
National Provider Identifier
1962551218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapist
- Practice address
- 7359 Havens Rd
Blacklick, OH 43004-9551 - Phone
- (419) 304-0527
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT6239 | OH | |
| Environmental Modification Occupational Therapist | 225XE0001X | Primary |
Addresses
Primary practice location
7359 Havens Rd
Blacklick, OH 43004-9551
Mailing address
7359 Havens Rd
Blacklick, OH 43004-9551
Phone (419) 304-0527
Other practice location 1
3425 Executive Pkwy
Suite 230
Toledo, OH 43606-1326
Phone (419) 531-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341821857 | Other | OH | GROUP TAX ID# |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.homeaccessibilitysolutionsllc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Toledo College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7359 Havens Rd
Blacklick, OH 43004-9551
Phone (419) 304-0527
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT6239 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Alliance | Occupational Therapist | Current | Accepting new patients |
| Home Accessibility Solutions LLC | Occupational Therapist | Current | Accepting new patients |
| Lifecare Alliance | Current | Accepting new patients | |
| Stresscare Behavioral Health, Inc. | Past | Accepting new patients |
Locations
1699 W Mound St
Columbus, OH 43223
Phone (614) 278-3130
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Occupational Therapist
- Blacklick, OH
- NPI 1750049128
-
- Home Health Agency
- Columbus, OH
- NPI 1669429544
-
- Cognitive & Behavioral Psychologist
- Toledo, OH
- NPI 1295868651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1962551218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7359 HAVENS RD",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430049551",
"telephone_number": "419-304-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7359 HAVENS RD",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430049551",
"telephone_number": "419-304-0527"
}
],
"practiceLocations": [
{
"address_1": "3425 Executive Pkwy",
"address_2": "SUITE 230",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436061326",
"country_code": "US",
"telephone_number": "419-531-3500",
"fax_number": "419-531-1877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARRISH",
"first_name": "KRISTOPHER",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT6239",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID#",
"identifier": "341821857",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.homeaccessibilitysolutionsllc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7359 Havens Rd",
"city": "Blacklick",
"state": "OH",
"country_code": "US",
"postal_code": "430049551",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.