Kayley E Edmondson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP010080 Issued in PA

Practice address

22 Cree Dr
Lock Haven, PA 17745-2639

Phone

(570) 748-9377

NPI assigned

Dec 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayley E Johnson Former name

Electronic endpoints 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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1982364089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CREE DR",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CREE DR",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452639",
            "telephone_number": "570-748-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "KAYLEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP010080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayleyedmondson@feeltheadvantage.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22 Cree Dr",
            "city": "Lock Haven",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177452639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLEY",
            "last_name": "JOHNSON",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Jo Dickey
• Lori S Dinges, PT
• Troy S Dinges, PT
• Tyson Lee Dixon, D.C.
• J-Lin Michaela Durost
• Suzanne E Edwards, DMD
• William R Edwards, DMD
• Walter A Eisenhauer, PA-C
• Jerome Keefer Ellis, MD
• Morgan Euston

• Occupational Therapy Assistant in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.