Individual provider Active NPI

Kellsey Jean Kloker, BS, MS OTR/L

  • Occupational Therapist
  • Gainesville, GA
National Provider Identifier
1104562610
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008372 Issued in GA
Practice address
7985 Knight Rd
Gainesville, GA 30506-6427
Phone
(770) 781-4899
Fax
(770) 781-4094
NPI assigned
May 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008372 GA Primary

Addresses

Primary practice location

7985 Knight Rd
Gainesville, GA 30506-6427

Mailing address

1599 Creek Mill Trce
Lawrenceville, GA 30044-6176

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
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
OT008372GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Therapy Services Occupational Therapist CurrentSince May 16, 2022 Accepting new patients
Finding Faith Inc Occupational Therapist Past Accepting new patients

Locations

102 Memorial Dr
#B
Dahlonega, GA 30533

7985 Knight Rd
#B
Gainesville, GA 30506
Phone (770) 781-4899

7985 Knight Rd
Gainesville, GA 30506
Phone (678) 467-7264

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1104562610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 CREEK MILL TRCE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 KNIGHT RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066427",
            "telephone_number": "770-781-4899",
            "fax_number": "770-781-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOKER",
        "first_name": "KELLSEY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "BS, MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-08",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; 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.