Cathleen Joyce Kelly, OTRL

Individual provider Active NPI Occupational Therapist · Clyde, KS

NPI 1164554408 · NPPES record last updated Jul 22, 2026

Key facts

NPI
1164554408
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17-01970 (KS)
Practice address
334 Washington St
Clyde, KS 66938
Phone
(785) 738-0321
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
17-01970KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mod Solution LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-01970 KS Yes

Addresses

Primary practice location

334 Washington St
Clyde, KS 66938

Mailing address

PO Box 35
Scott City, KS 67871-0035
Phone (785) 738-0321

Other practice location 1

235 W Vine St
Dighton, KS 67839-5089
Phone (620) 397-5321

Other providers in Clyde, KS

All providers in Clyde, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.