Active NPI
Jonathan O. Kippins, OTR/L
- Gerontology Occupational Therapist
- Liberty Township, OH
National Provider Identifier
1972749026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- OT.008361
- Practice address
- 5705 Bryson LN
Liberty Township, OH 45044-2523 - Phone
- (419) 350-0029
- NPI assigned
- Dec 19, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | OT.008361 | OH | Primary |
| Occupational Therapy Assistant | 224Z00000X | OTA.03629 | OH |
Addresses
Primary practice location
5705 Bryson LN
Liberty Township, OH 45044-2523
Mailing address
5705 Bryson LN
Liberty Township, OH 45044-2523
Phone (419) 350-0029
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.03629 | OH | MD | Occupational Therapy Assistant |
| OT.008361 | OH | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1972749026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 BRYSON LN",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450442523",
"telephone_number": "419-350-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 BRYSON LN",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450442523",
"telephone_number": "419-350-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPPINS",
"first_name": "JONATHAN",
"middle_name": "O.",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-19",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "OH",
"license": "OT.008361",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA.03629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.