Jena Kelly, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007806 Issued in GA

Practice address

4055 Johns Creek Pkwy Ste a
Suwanee, GA 30024-1299

Phone

(770) 888-5221

NPI assigned

Jul 28, 2020

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1245849041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 ANGELICA CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437142",
            "telephone_number": "770-298-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 JOHNS CREEK PKWY STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241299",
            "telephone_number": "770-888-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eurina Y Kee, RN, MS, CRRN
• Nyce Keiyoro
• Kelley Therapeutic Services LLC
• Lisa Danielle Kelley, LCSW
• Caroline Kelliny, PA
• Lauren K Kelly, MA, LMFT
• Laprinces Elaine Kennard, BCBA, LBA
• Kurtis Kepfer, PT
• Judy Ann Kerley, PH.D.
• Anjana Khadka

• Occupational Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.