Kylie Elizabeth Carr, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.0005484 Issued in IL

Practice address

207 W North St
Mount Sterling, IL 62353-1208

Phone

(217) 257-3560

NPI assigned

Jan 14, 2021

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1982293841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W NORTH ST",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "623531208",
            "telephone_number": "217-257-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W NORTH ST",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "623531208",
            "telephone_number": "217-257-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "KYLIE",
        "middle_name": "ELIZABETH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.0005484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DFS848415199",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessing Hospital
• Rochelle L Briney, LCSW
• Brown County (Brown County Ambulance Service)
• Brown County Cu SCH Dist 1
• Brown County Public Health Department
• Charlotte A. Clark
• Shana Clarkson, NP
• Terri Clayton
• Gregory Cowan, D.C.
• Destiny Craven, APRN, PMHNP

• Occupational Therapy Assistant in Mt Sterling, IL
• Providers in Mt Sterling, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.