Lauren Ashley Kelly, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

009902 Issued in NY

Practice address

1407 Kings Hwy
Chester, NY 10918-3030

Phone

(845) 827-5360

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1235614108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STONEWALL RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505335",
            "telephone_number": "845-820-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 KINGS HWY",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109183030",
            "telephone_number": "845-827-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Kelly Vision Consulting, LLC
• Rayven Johnson
• Kirstin Lynn Kavountzis
• Kelly Chiropractic Wellness Center PC
• John Joseph Kelly, MS.ED, CAS
• Miyoung Kim
• Matthew S King, DMD
• Edward Eber Konis, M.D.
• Kristina Barton (Barton Consulting and Self Care)
• Hans A Kurtz, DDS

• Occupational Therapy Assistant in Chester, NY
• Providers in Chester, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.