Keelin Kelly, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5476-27 Issued in WI

Practice address

2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498

Phone

(608) 819-6393

NPI assigned

Nov 16, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1376085704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 VILAS RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279492",
            "telephone_number": "608-575-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 S FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116498",
            "telephone_number": "608-819-6393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S 27th Street",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "59101",
            "country_code": "US",
            "telephone_number": "406-259-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEELIN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5476-27",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "OTP-OTA-LIC-4668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia A Kalnins, NP
• Katie Kane, COTA
• Shannon Kant
• Kathleen Nester Kasberg, MS, CCC-SLP
• Erika Mae Kelley, CNM
• Betsy Jean Kennedy, MS, OTR, CLT
• Marli Kennedy
• Priscilla Kennedy
• Christine Lynn Kern Steffen, CNM
• Erin Keyes, PHARMD

• Occupational Therapy Assistant in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.