Kelsey Johnson Clear, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008897 Issued in VA

Practice address

3610 S Main St
Blacksburg, VA 24060-7015

Phone

(540) 951-7000

NPI assigned

Sep 11, 2023

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

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  DC, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Jasper Rehab VA LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1073390019

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1205613494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 BEULAH LN",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736277",
            "telephone_number": "804-317-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607015",
            "telephone_number": "540-951-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAR",
        "first_name": "KELSEY",
        "middle_name": "JOHNSON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie A. Church, MASTER'S DEGREE
• Crystal Clark
• Laura Kathleen Clark
• Sarah J Clark, LCSW
• Michael Howard Clary, DO
• Nicole Danielle Clements, M.S. CCC-SLP
• Lindsey Marie Clemo
• Caitlan Alexadawn Cline, M.S. CCC-SLP
• George Arthur Clum Jr., PH D
• Venessa A Coake, FNP-C

• Occupational Therapist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.