Active NPI
Kelly Marie Collins, COTA
- Occupational Therapy Assistant
- Indianapolis, IN
National Provider Identifier
1063880136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32002610A
- Practice address
- 8616 W 10TH St
Indianapolis, IN 46234-2198 - Phone
- (317) 209-2800
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32002610A | IN | Primary |
Addresses
Primary practice location
8616 W 10TH St
Indianapolis, IN 46234-2198
Mailing address
1688 Andrews Dr
Avon, IN 46123-8164
Phone (317) 551-3794
Other practice location 1
124 Hawthorne Ln
Greenwood, IN 46142-9430
Phone (317) 332-9861
Other practice location 2
118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037
Other names 1
- Kelly Marie Kennedy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32002610A | IN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on Wheels, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1063880136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 ANDREWS DR",
"city": "AVON",
"state": "IN",
"postal_code": "461238164",
"telephone_number": "317-551-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8616 W 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462342198",
"telephone_number": "317-209-2800"
}
],
"practiceLocations": [
{
"address_1": "124 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461429430",
"country_code": "US",
"telephone_number": "317-332-9861",
"fax_number": "317-893-4453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 Medical Dr",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460322923",
"country_code": "US",
"telephone_number": "317-573-1037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32002610A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "KENNEDY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.