Individual provider Active NPI

Kelsey Nicol Zeli

  • Occupational Therapist
  • Anderson, SC
National Provider Identifier
1265913040
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4994 Issued in SC
Practice address
3501 N Highway 81
Anderson, SC 29621-4419
Phone
(864) 622-6629
Fax
(857) 504-1120
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11055 NC
Occupational Therapist 225X00000X 4994 SC Primary

Addresses

Primary practice location

3501 N Highway 81
Anderson, SC 29621-4419

Mailing address

3501 N Highway 81
Anderson, SC 29621-4419
Phone (864) 622-6620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kgriffith@ageility.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014001223 NC Practitioner - Occupational Therapist in Private Practice 8224425020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4994SCMDOccupational Therapist
11055NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab OT NC LLC Occupational Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

2008 Moore Rd
Matthews, NC 28105

7 Carnegie Plz
Cherry Hill, NJ 08003

Interoperability endpoints

  • Direct secure messaging: kgriffith@ageility.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1265913040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214419",
            "telephone_number": "864-622-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214419",
            "telephone_number": "864-622-6629",
            "fax_number": "857-504-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELI",
        "first_name": "KELSEY",
        "middle_name": "NICOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11055",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kgriffith@ageility.com",
            "affiliation": "N",
            "address_1": "3501 N Highway 81",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296214419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.