Individual provider Active NPI

Kacey Bunger, OTD, OTR/L

  • Occupational Therapist
  • Clarksville, TN
National Provider Identifier
1982089942
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5528 Issued in TN
Practice address
2319 Rudolphtown Rd
Clarksville, TN 37043-2228
Phone
(931) 436-5323
Fax
(931) 920-4346
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5528 TN Primary
Pediatric Occupational Therapist 225XP0200X 5528 TN

Addresses

Primary practice location

2319 Rudolphtown Rd
Clarksville, TN 37043-2228

Mailing address

2319 Rudolphtown Rd
Clarksville, TN 37043-2228
Phone (931) 436-5323

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
5528TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
High Pointe Rehab LLC Past Accepting new patients

Organizations & group practices 1

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1982089942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 RUDOLPHTOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432228",
            "telephone_number": "931-436-5323",
            "fax_number": "931-920-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 RUDOLPHTOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432228",
            "telephone_number": "931-436-5323",
            "fax_number": "931-920-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGER",
        "first_name": "KACEY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5528",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "5528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.