Individual provider Active NPI

Chelsea Orr, OTR/L

  • Occupational Therapist
  • Wright Patterson AFB, OH
National Provider Identifier
1316324619
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008986 Issued in OH
Practice address
4811 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone
(937) 257-9612
NPI assigned
May 6, 2015
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008986 OH Primary

Addresses

Primary practice location

4811 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529

Mailing address

4811 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529

Other practice location 1

7591 Tylers Place Blvd
West Chester, OH 45069-6308
Phone (513) 755-6600 ext. 103

Other practice location 2

4801 Springfield St
Dayton, OH 45431-1084
Phone (937) 236-9965

Other identifiers 1

IdentifierTypeStateIssuer
2187155MedicaidOH

Other names 1

  • Chelsea Dudley Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
008986OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xenia Community School District Current Accepting new patients
Montgomery County Educational Service Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1316324619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-9612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7591 Tylers Place Blvd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696308",
            "country_code": "US",
            "telephone_number": "513-755-6600 x103",
            "fax_number": "513-755-3762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Springfield St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454311084",
            "country_code": "US",
            "telephone_number": "937-236-9965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "008986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "DUDLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wright Patterson AFB, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.