Kelsey Jean Kelley, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

9809 Issued in NC

Practice address

5113 Piper Station Dr
#103
Charlotte, NC 28277-6689

Phone

(704) 752-1616

NPI assigned

Jul 1, 2015

Last updated

Sep 3, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Queen City Therapy, PLLC

  dba Little Wonders 123

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1154813681

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1104209600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 CAMERON WOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282107904",
            "telephone_number": "978-807-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR",
            "address_2": "#103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776689",
            "telephone_number": "704-752-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KELSEY",
        "middle_name": "JEAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "9809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lynn Kelley Haque, LMFT
• Chandra Kelley, M.S., CF-SLP
• Chelita Kaye Kelley, D.D.S.
• Emma Kelley
• Kailey Kelley, LCSW
• Lisa M Kelley, N.P.
• Mya H Kelley, M.A., CCC-SLP
• Robert Griffin Kelley Jr., MD
• Simone D Kelley
• Andrea Kellner, COTA/L

• Pediatric Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.