Kellye W Olson, OTR/L, CPAMS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R3423 Issued in KY

Practice address

17201 SE 109TH Terrace Rd
Summerfield, FL 34491-9019

Phone

(775) 367-6937

Fax

(850) 308-7191

NPI assigned

Jun 14, 2006

Last updated

Jul 31, 2024By 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 2

Addresses

Other identifiers 4

Other names 1

• Kellye Woodward Burch Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Next PT Group Florida, LLCGroup PAC ID 3173865607, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Next PT Group Florida, LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1730666355

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Lindsay Hand and Physical Therapy, PSC

  • Physical Therapist
  • Lexington, KY
  • NPI 1689612673
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1427091883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9926 SE SUNSET HARBOR RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914504",
            "telephone_number": "859-433-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 SE 109TH TERRACE RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919019",
            "telephone_number": "775-367-6937",
            "fax_number": "850-308-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KELLYE",
        "middle_name": "W",
        "credential": "OTR/L, CPAMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3423",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT18697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61-1335045",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000480057",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007162160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "61-1335045",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLYE",
            "last_name": "BURCH",
            "middle_name": "WOODWARD",
            "credential": "OTD, OTR/L, CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norma L. Gary
• Nuerology Associates of Central Florida, P.a.
• Mark Nybo, PHARMACIST
• Ocala Regional Physical Therapy Center (Strive Rehabilitation)
• Marlen D Ohair
• Loc Vinh On, RPH
• Ourlove Senior Care Inc.
• Yolane Ovil
• Nicholas Palumbo, PT
• Alethia Helen Pantazis, M.D.

• Occupational Therapist in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.