Kelly J Minger, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31003410A Issued in IN

Practice address

1756 W 100 S
Portland, IN 47371-8204

Phone

(260) 726-4020

Fax

(260) 726-1805

NPI assigned

Jan 17, 2007

Last updated

Sep 26, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment NPD
• Indiana University Health Jay, Inc.

  • Family Medicine Physician
  • Portland, IN
  • NPI 1639940976
  NPD (past)
• Midwest Healthstrategies, Inc.

  • Physical Therapist
  • Portland, IN
  • NPI 1043360159
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1265584858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 W 100 S",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718204",
            "telephone_number": "260-726-4020",
            "fax_number": "260-726-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 W 100 S",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718204",
            "telephone_number": "260-726-4020",
            "fax_number": "260-726-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Pilgrim Blvd",
            "address_purpose": "LOCATION",
            "city": "Hartford City",
            "state": "IN",
            "postal_code": "473481382",
            "country_code": "US",
            "telephone_number": "765-348-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINGER",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kminger@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "410 Pilgrim Blvd",
            "city": "Hartford City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473481382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meridian Health Services Corp (MeridianMD Convenience Care)
• Meridian Health Services Corp. (Meridian Health Services)
• Meridian Health Services Corp. (Meridian Health Services)
• Midwest Healthstrategies, Inc
• Midwest Healthstrategies, Inc.
• Kristin R Morris, PTA
• Mustard Seed Remodeling, LLC
• Stephen R. Myron, M.D.
• Anne M Patch, NP
• Brenda Pensinger, LCSW

• Occupational Therapist in Portland, IN
• Providers in Portland, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.