Kelly J Soyring, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104154 Issued in MN

Practice address

18580 Totland Rd
Detroit Lakes, MN 56501-7603

Phone

(955) 955-2218

NPI assigned

Dec 18, 2012

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

• Kelly J Haar Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Earth Indian Health CenterGroup PAC ID 1658367925, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• White Earth Indian Health Center

  • Federal Public Health Clinic/Center
  • Ogema, MN
  • NPI 1093761710

  TX

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1033455183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18580 TOTLAND RD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565017603",
            "telephone_number": "955-955-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18580 TOTLAND RD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565017603",
            "telephone_number": "955-955-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOYRING",
        "first_name": "KELLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HAAR",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abbigail M Smith, OTD
• Benjamin C Smith, MD
• Branden Smith
• Stacey A Smith, MD
• Sherri L Softing, RD, LD
• Bobi Lyn Spaeth
• Spectrum Health
• Dawn Spitzer
• St Mary'S Innovis Health
• St Mary'S Regional Health Center

• Occupational Therapist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.