Individual provider Active NPI

Allison Kelley, OTR/L

  • Occupational Therapist
  • Creve Coeur, MO
National Provider Identifier
1205713807
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3051 Issued in NE
Practice address
12400 Olive Blvd Ste 425
Creve Coeur, MO 63141-5458
Phone
(314) 275-9000
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3051 NE Primary

Addresses

Primary practice location

12400 Olive Blvd Ste 425
Creve Coeur, MO 63141-5458

Mailing address

12400 Olive Blvd Ste 425
Creve Coeur, MO 63141-5458
Phone (314) 275-9000

Other names 1

  • Mrs. Allison Kelley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916001055 NE Practitioner - Occupational Therapist in Private Practice 2466956248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Creighton University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Lymphedema and Occupational Therapy LLCGroup PAC ID 8426488222, 15 clinicians
Choice Rehabilitation LLCGroup PAC ID 7719308204, 10 clinicians

Practice addresses (Care Compare)

3940 Cornhusker Hwy
Suite 200
Lincoln, NE 68504-1509
Phone (402) 904-4474

6803 N 68TH PLZ
Choice Rehab Agency
Omaha, NE 68152-2177
Phone (314) 275-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3051NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Rehabilitation LLC Occupational Therapist CurrentSince Jan 12, 2026 Accepting new patients
Lincoln Lymphedema and Occupational Therapy, LLC Occupational Therapist CurrentSince Aug 18, 2025 Accepting new patients

Locations

12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000

3940 Cornhusker Hwy
Ste 200
Lincoln, NE 68504
Phone (402) 904-4474

4131 Pioneer Woods Dr
Ste 101
Lincoln, NE 68506
Phone (402) 488-1113

3940 Cornhusker Hwy
Ste 2
Lincoln, NE 68504
Phone (402) 904-4474

955 N Adams St
Ste 1
Papillion, NE 68046
Phone (531) 600-7774

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1205713807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 OLIVE BLVD STE 425",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415458",
            "telephone_number": "314-275-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 OLIVE BLVD STE 425",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415458",
            "telephone_number": "314-275-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "3051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "KELLEY",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.