Stephanie Kelsey-Reynolds, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000834 Issued in CT

Practice address

60 Connolly Pkwy
BLDG. 17a
Hamden, CT 06514-2593

Phone

(203) 230-2815

Fax

(203) 230-8502

NPI assigned

Jul 27, 2007

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

Other identifiers 1

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 and National Provider Directory roles.

• Reachout, Inc.

  • Early Intervention Provider Agency
  • Hamden, CT
  • NPI 1851739098
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1124218938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PKWY",
            "address_2": "BLDG. 17A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142593",
            "telephone_number": "203-230-2815",
            "fax_number": "203-230-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CONNOLLY PKWY",
            "address_2": "BLDG. 17A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142593",
            "telephone_number": "203-230-2815",
            "fax_number": "203-230-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY-REYNOLDS",
        "first_name": "STEPHANIE",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT LICENSE",
            "identifier": "000834",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Mullaney Keane, RN, PPCNP-BC
• Lynsey McGrath Keator
• Amanda Kedzior
• Gresi Kello, PA-C
• Susan Kelly, LADC, CAC
• Kathryn Blaney Kennedy, LPC
• Karin E Kerfoot, MD
• Marcy Ann Kesilewski, PA-C
• Janice Kessler, LCSW
• Harlie Beth Kesten, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.