Kelli Chandler, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 14064 Issued in FL

Practice address

9000 Southside Blvd BLDG 900
Jacksonville, FL 32256-0791

Phone

(904) 732-4343

NPI assigned

Apr 20, 2010

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Jacksonville Autism Clinic LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265016927
  NPD
• Jacksonville School for Autism

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1295077840
  NPD
• Pediatric Therapy Services, Inc.

  • Clinic/Center
  • Brandon, FL
  • NPI 1871769349
  NPD (past)

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1285950980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 VICTORIAN OAKS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231865",
            "telephone_number": "904-707-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SOUTHSIDE BLVD BLDG 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560791",
            "telephone_number": "904-732-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "KELLI",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 14064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Support Services, Inc.
• Anniqua Chandler
• Dianne Chandler, PHARM D
• Isaisha Chandler
• Jerry Wayne Chandler II, D.O.
• Lindsay Mae Chandler, DPM
• Melanie Chandler, PHD
• Merrill Martin Chandler, M.S., BCBA
• Ryan Chandler
• Sheila Ann Chandler

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.