Individual provider Active NPI

Kele Michele Brown, MOT, LOTR.

  • Occupational Therapist
  • West Monroe, LA
National Provider Identifier
1407567696
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
334454 Issued in LA
Practice address
107 Summer LN
West Monroe, LA 71291-3501
Phone
(318) 396-1969
NPI assigned
Dec 8, 2022
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 334454 LA Primary

Addresses

Primary practice location

107 Summer LN
West Monroe, LA 71291-3501

Mailing address

107 Summer LN
West Monroe, LA 71291-3501
Phone (318) 396-1969

Other identifiers 1

IdentifierTypeStateIssuer
334454OtherLALICENSE

Other names 1

  • Kele Michele Bole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324002416 LA Practitioner - Occupational Therapist in Private Practice 2466826896 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
334454LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Physical Therapy Inc Occupational Therapist CurrentSince Jan 19, 2023 Accepting new patients
Melanie Massey Infant & Toddler LLC Occupational Therapist Past Accepting new patients
Ann Tubre, Lotr LLC Occupational Therapist PastSince Nov 8, 2020 Accepting new patients
Christi Holt Ma CCC SLP PastSince Nov 8, 2020 Accepting new patients

Locations

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1407567696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913501",
            "telephone_number": "318-396-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913501",
            "telephone_number": "318-396-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELE",
        "middle_name": "MICHELE",
        "credential": "MOT, LOTR.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "334454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "334454",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELE",
            "last_name": "BOLE",
            "middle_name": "MICHELE",
            "credential": "MOT,LOTR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.