Kelsey Renee Pence, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

31007376A Issued in IN

Practice address

516 Court St Ste a
Evansville, IN 47708-1340

Phone

(812) 485-2100

Fax

(812) 485-2101

NPI assigned

Apr 1, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1417535212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 CYPRESS CREEK DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257185",
            "telephone_number": "812-598-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 COURT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081340",
            "telephone_number": "812-485-2100",
            "fax_number": "812-485-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "KELSEY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IN",
            "license": "31007376A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A. Peduk, M.D.
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• Nathaniel Pelsor, O.D.
• William R Penland, M.D.
• Angeline M Penn
• Pamela S Pepper, CNS
• Ahmet K. Percinel, M.D.
• Perihan A Percinel, DDS

• Physical Rehabilitation Occupational Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Rehabilitation Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.