Kelsey Iversen, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008485 Issued in GA

Practice address

1323 W Sigwalt St
Arlington Heights, IL 60005-1618

Phone

(847) 345-6604

NPI assigned

Jul 4, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Pediatric Speech Therapy Associates

  • Occupational Therapist
  • Aurora, CO
  • NPI 1124308713
  NPD (past)
• Pediatric Speech Therapy Associates

  • Speech-Language Pathologist
  • Centennial, CO
  • NPI 1285887273

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1306579735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W SIGWALT ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051618",
            "telephone_number": "847-345-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W SIGWALT ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051618",
            "telephone_number": "847-345-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSEN",
        "first_name": "KELSEY",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "1323 W Sigwalt St",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600051618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mamdouh Latif Ishak, MD
• Maria Caunca Israel, M.D.
• Kerry F Ito, MA, LCPC
• Aurelian S. Ivan, M.D.
• Madalina Ivan, DDS
• Phillip Greg Ivy, APN-CRNA
• Iwona Konczak, Psy.D., Corp
• Obioma Iwuagwu
• J & Company Chiropractic LLC
• Ahmad Subhi Jabbar, M.D.

• Occupational Therapist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.