Chandler T Kelly, OTR, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

125011 Issued in TX

Practice address

11751 Alta Vista Rd Ste 201
Fort Worth, TX 76244-6442

Phone

(817) 562-1006

Fax

(817) 562-1009

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Limitless PT LLC

  dba Limitless Pediatric Therapy

  • Occupational Therapist
  • Fort Worth, TX
  • NPI 1255985453
  NPD (past)
• Supportive Community Innovations

  • Behavior Analyst
  • Nashville, IN
  • NPI 1902265267
  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1356970412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446442",
            "telephone_number": "817-562-1006",
            "fax_number": "817-562-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446442",
            "telephone_number": "817-562-1006",
            "fax_number": "817-562-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Gilmore Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "IN",
            "postal_code": "474489731",
            "country_code": "US",
            "telephone_number": "812-322-0313",
            "fax_number": "812-610-1814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHANDLER",
        "middle_name": "T",
        "credential": "OTR, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-20-114824",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT NATIONAL LICENSE ISSUED BY NBCOT",
            "identifier": "517461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY TEXAS STATE LICENSE",
            "identifier": "125011",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie McLarty LPC
• Kelley G Kellogg, DO
• Kelly Blair D.D.S., PLLC
• Kelly R. Kunkel, M.D., P.a.
• Allan Rowan Kelly, M.D.
• David C Kelly, PA
• Derek Keith Kelly, MD
• Lauren Kelly
• Madison Price Kelly, MD
• Marie T Kelly, M.D.

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.