Kelsie Leigh Lyles, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006845A Issued in IN

Practice address

4500 Main St
Anderson, IN 46013-4732

Phone

(765) 641-2360

NPI assigned

Jan 23, 2020

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 names 1

• Mrs. Kelsie Leigh Evoy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hopewell Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Anderson, IN
  • NPI 1093861841
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1033749684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 VASSAR ST APT 633",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326025",
            "telephone_number": "317-383-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MAIN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134732",
            "telephone_number": "765-641-2360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Main St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460131702",
            "country_code": "US",
            "telephone_number": "765-642-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLES",
        "first_name": "KELSIE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSIE",
            "last_name": "EVOY",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clayton Towne Ludlow, DO
• Lula'S Touch Home Care
• Hua Luo, MD, PHD
• Linda Lupton
• David Allen Lushinsky, D.C.
• Timothy L Lyles Jr., OTR/L
• Neva M Lynch Jackson, MD
• April Lynch
• Adam Waalkes Lyon, MD
• Alicia Lysiuk, LAT, ATC, MS

• Occupational Therapist in Anderson, IN
• Providers in Anderson, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.