Individual provider Active NPI

Chelsie Kelly, OTR/L

  • Occupational Therapist
  • Mundelein, IL
National Provider Identifier
1215640685
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
850 E US Highway 45
Mundelein, IL 60060-4612
Phone
(847) 377-7200
NPI assigned
Jan 2, 2023
Last updated
Jan 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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 IL Primary

Addresses

Primary practice location

850 E US Highway 45
Mundelein, IL 60060-4612

Mailing address

992 Galena Dr
Volo, IL 60073-8186

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therapy.director@thrivelakeco.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607001064 IL Practitioner - Occupational Therapist in Private Practice 0446617450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

2155 W Pierce Ave
Chicago, IL 60622-1884
Phone (773) 917-8609

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Jan 14, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jan 14, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jan 14, 2025 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Apr 26, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Apr 26, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jan 14, 2025 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

2155 W Pierce Ave
Chicago, IL 60622
Phone (773) 252-2066

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1215640685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 GALENA DR",
            "city": "VOLO",
            "state": "IL",
            "postal_code": "600738186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E US HIGHWAY 45",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604612",
            "telephone_number": "847-377-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHELSIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy.director@thrivelakeco.com",
            "affiliation": "N",
            "address_1": "850 E US Highway 45",
            "city": "Mundelein",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600604612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.