Shannon Elizabeth Kelly, OTR/L

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

09273 Issued in MD

Practice address

1336 Belmont Ave # 502
Salisbury, MD 21804-4500

Phone

(410) 546-2894

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1255911392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIELLE AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345732",
            "telephone_number": "609-703-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 BELMONT AVE # 502",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044500",
            "telephone_number": "410-546-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MD",
            "license": "09273",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Mayer Kelley, MD
• Krista Helen Kelly-Hearn
• Amanda Kelly
• Cynthia A Kelly, CRNA
• Detra Kelly, LCSW-C
• Thomas E Kelly, M.D.
• Sintayehu Kenea
• Kelly Susan Kennan, DDS
• Lee Ann Kenney-Shoup, LCPC
• Catherine Ann Kenney, PSYCHOLOGY ASSOCIATE

• Other Specialist/Technologist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Other Specialist/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.