Kellie C. Ponder

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16047 Issued in FL

Practice address

220 N Grove St
Merritt Island, FL 32953-3444

Phone

(814) 227-3590

NPI assigned

Oct 26, 2012

Last updated

Jun 8, 2025By 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

Other names 1

• Kellie Staab Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ap Therapy LLC

  dba Sequoia Care

  • Physical Therapist
  • Englewood Cliffs, NJ
  • NPI 1699552646

  FL, Occupational Therapist

  Medicare reassignment NPD
• Ap Therapy LLC

  dba Sequoia Care Outpatient Therapy Services

  • Physical Therapist
  • League City, TX
  • NPI 1821823717

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1386997476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N GROVE ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N GROVE ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533444",
            "telephone_number": "814-227-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "KELLIE",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "STAAB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia June Philbrick, APRN
• Danielle L Phillips, BA
• Tara Phu
• Robert B Pierce, CNM
• Denise April Pistilli, RN BSN
• James Earl Poppell Jr., MSPT
• Melissa Posey
• Alison Powell, OT
• Maria Powell, RDH
• Srinivas Prasad, MD

• Occupational Therapist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.