Kelly Kallaos, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004244 Issued in MO

Practice address

5000 S Broadway
Saint Louis, MO 63111-2015

Phone

(314) 603-8645

NPI assigned

Jul 10, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1124402045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 CASA ROYALE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293007",
            "telephone_number": "314-487-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112015",
            "telephone_number": "314-603-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAOS",
        "first_name": "KELLY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Lee Kalinowski, MD
• Michael Eugene Kalinowski, MA LPC
• Katlin Kalish
• Brooke Marie Kalisiak, PT, DPT
• Kevin M Kalka, PTA
• Michelle Patricia Kallis, M.D.
• Samuela Kallogjeri, OTR
• Melissa Gadsden Kaltenbach, M.D.
• Elise Kaltenrieder
• Sarita Kalu, LMT

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.