Individual provider Active NPI

Kelsey Kearney Bryant, OTR/L

  • Hand Occupational Therapist
  • Alpharetta, GA
National Provider Identifier
1437102860
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3574 Issued in GA
Practice address
3400 Old Milton Pkwy # a
Suite 350
Alpharetta, GA 30005-3707
Phone
(404) 693-9098
NPI assigned
May 18, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3574 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy # a
Suite 350
Alpharetta, GA 30005-3707

Mailing address

1385 Chelsey LN
Alpharetta, GA 30004-1183
Phone (404) 693-9098

Other names 1

  • Kelsey Ann Kearney Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060601000097 GA Practitioner - Occupational Therapist in Private Practice 9537170782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hand and Upper Extremity Center of Ga, PCGroup PAC ID 8820071160, 17 clinicians

Practice addresses (Care Compare)

980 Johnson Fy Rd NE
Suite 1000
Atlanta, GA 30342-1639
Phone (404) 328-4906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3574GAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hand and Upper Extremity Center of Ga, PC CurrentSince May 1, 2013 Accepting new patients
The Hand and Upper Extremity Rehabilitation Center Hand Past Accepting new patients

Locations

980 Johnson Fy Rd NE
Ste 1000
Sandy Springs, GA 30342
Phone (404) 255-0226

980 Johnson Fy Rd NE
Ste 1020
Sandy Springs, GA 30342
Phone (404) 255-0226

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1437102860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 CHELSEY LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041183",
            "telephone_number": "404-693-9098",
            "fax_number": "404-693-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY # A",
            "address_2": "SUITE 350",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "404-693-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KELSEY",
        "middle_name": "KEARNEY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "3574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "KEARNEY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.