Individual provider Active NPI

Kelly McDonald, MS, OTR/L

  • Pediatric Occupational Therapist
  • Riverside, RI
National Provider Identifier
1184748998
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT01160 Issued in RI
Practice address
1365 Wampanoag TRL Unit 3
Riverside, RI 02915-1037
Phone
(401) 206-4030
NPI assigned
Mar 19, 2007
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9092 MA
Pediatric Occupational Therapist 225XP0200X OT01160 RI Primary

Addresses

Primary practice location

1365 Wampanoag TRL Unit 3
Riverside, RI 02915-1037

Mailing address

25 Lynn Ave
Rumford, RI 02916-3114
Phone (401) 868-8877

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
Master of Science

State licenses

LicenseStateTypeSpecialty
9092MAMDMental Health Counselor
OT01160RIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wolf School PastSince Nov 1, 2021 Accepting new patients
Medical Staffing Network Healthcare, LLC Past Accepting new patients
Medical Staffing Network, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1184748998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LYNN AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029163114",
            "telephone_number": "401-868-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WAMPANOAG TRL UNIT 3",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151037",
            "telephone_number": "401-206-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9092",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "RI",
            "license": "OT01160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.