Kelsey Everly, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009088 Issued in MI

Practice address

71150 Orchard Crossing LN
Romeo, MI 48065-3644

Phone

(586) 336-0102

NPI assigned

Nov 8, 2015

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

• Kelsey L Schwark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Quality Care Rehabilitation Professionals

  • Occupational Therapist
  • Shelby Township, MI
  • NPI 1437718830
  NPD (past)

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

{
    "created_epoch": "1446940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1053784322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44084 RIVERGATE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381367",
            "telephone_number": "586-850-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71150 ORCHARD CROSSING LN",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480653644",
            "telephone_number": "586-336-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13794 21 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483154854",
            "country_code": "US",
            "telephone_number": "586-532-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41795 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483773107",
            "country_code": "US",
            "telephone_number": "248-449-1655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4830 Central Park Dr",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488642089",
            "country_code": "US",
            "telephone_number": "517-349-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERLY",
        "first_name": "KELSEY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-08",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SCHWARK",
            "middle_name": "L",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Marie Dickson, DPT, OMPT
• Bruce Duncan, LMSW
• Kimberly M Dziadzio, PT
• Dion Edwards, PHD LLP
• Claude Wakefield Eggertsen, PH.D.
• Donald W Felstow, PT
• Harry Gee, M.D.
• Amrit Gill
• Mark Edgar Hardwick, D.D.S.
• Kimberly C Hazel, LMSW, ACSW

• All providers in Romeo, MI
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.