Active NPI
Kelly Sue Chan, MA, OTR/L
- Occupational Therapist
- Farmington, MN
National Provider Identifier
1336094713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 421 Walnut St
Farmington, MN 55024-1344 - Phone
- (612) 252-2980
- Fax
- (651) 460-3830
- NPI assigned
- Mar 2, 2026
- Last updated
- Mar 2, 2026
- 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 | MN | Primary |
Addresses
Primary practice location
421 Walnut St
Farmington, MN 55024-1344
Mailing address
421 Walnut St
Farmington, MN 55024-1344
Phone (612) 252-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1336094713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 WALNUT ST",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550241344",
"telephone_number": "612-252-2980",
"fax_number": "651-460-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 WALNUT ST",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550241344",
"telephone_number": "612-252-2980",
"fax_number": "651-460-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "KELLY",
"middle_name": "SUE",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-02",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.