Kelly Vescera, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004422 Issued in CT

Practice address

655 Straits Tpke
Watertown, CT 06795-3369

Phone

(617) 671-8953

NPI assigned

Oct 9, 2016

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Glastonbury, CT
  • NPI 1174493126
  Medicare reassignment
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1073063533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EAST ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 STRAITS TPKE",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953369",
            "telephone_number": "617-671-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESCERA",
        "first_name": "KELLY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-09",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "004422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Undivided Soul LLC
• Cheryl Vanase, LPC
• David Allan Vangeersdaele, PHARMACIST
• Alexander Vazquez
• Lawrence Venuk, BCBA
• Danielle Hope Visingardi
• David Anthony Vito II, DDS
• Vna Health at Home, Inc
• Vna Health at Home, Inc.
• Walgreen Co

• Occupational Therapist in Watertown, CT
• Providers in Watertown, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.