Active NPI
Kelly David, OTR/L
- Occupational Therapist
- Chelmsford, MA
National Provider Identifier
1265849210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11302
- Practice address
- 40 Parkhurst Rd
Chelmsford, MA 01824-1513 - Phone
- (978) 256-3151
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11302 | MA | Primary |
Addresses
Primary practice location
40 Parkhurst Rd
Chelmsford, MA 01824-1513
Mailing address
22 North Ave
North Attleboro, MA 02763-1120
Phone (508) 369-6002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11302 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1265849210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 NORTH AVE",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027631120",
"telephone_number": "508-369-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PARKHURST RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018241513",
"telephone_number": "978-256-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "KELLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.