Kellye Pepper Wilcheck, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5026 Issued in TN

Practice address

20 Voyager LN Unit B
Bozeman, MT 59718-3203

Phone

(901) 488-9497

NPI assigned

Oct 1, 2014

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonny Physical Therapy LLCGroup PAC ID 0345512596, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sonny Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hayden, ID
  • NPI 1992235816

  MT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346643533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140114",
            "telephone_number": "423-622-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VOYAGER LN UNIT B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183203",
            "telephone_number": "901-488-9497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6172 Airways Blvd",
            "address_2": "Suite 122",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374212984",
            "country_code": "US",
            "telephone_number": "423-622-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCHECK",
        "first_name": "KELLYE",
        "middle_name": "PEPPER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis K Whitt, OD
• Susan G Whittinghill, PAC
• Ross Patrick Wiedemann, MD
• Clara Leanne Wiederholt
• Suzanne Wilbrecht, MSN
• Wild Fire Psychotherapy
• James Bryce Wiley, PAC
• Loni Lynn Wiley, M.S, ATC
• Kerri Wilkins, CF-SLP
• Janelle P Wilkinson

• Occupational Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.