Kelsey Ann Burns, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105177 Issued in MN

Practice address

2060 Centre Pointe Blvd Ste 3
Mendota Heights, MN 55120-1271

Phone

(615) 275-6420

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Riyo International Corporation

  • Adolescent and Children Mental Health Clinic/Center
  • Mendota Heights, MN
  • NPI 1831656529
  Medicare reassignment NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1093167736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 82ND ST APT 299",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371567",
            "telephone_number": "952-380-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CENTRE POINTE BLVD STE 3",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201271",
            "telephone_number": "615-275-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "105177",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Emma Braun
• Amelia Brown
• Melissa Brown
• Rodreakal Antonia Brown
• Tysaiah Jayonnie Bryant
• Shamarion Kalid Burton
• Sonya Michelle Calgren, LICSW, MA
• Angela Marie Camitsch
• Leanne Elizabeth Cantin
• Heather Lynn Carabajal, MFT

• Occupational Therapist in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.