Savannah Dawn Kelley, OTA
Individual provider Active NPI Occupational Therapy Assistant · Ellsworth, KS
NPI 1447516042 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1447516042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 18-00856 (KS)
- Practice address
- 1156 Highway 14
Ellsworth, KS 67439-8661 - Phone
- (785) 472-3167
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-00856 | KS | MD | Occupational Therapy Assistant |
| T-03189 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | T-03189 | KS | |
| Occupational Therapy Assistant | 224Z00000X | 18-00856 | KS | Yes |
Addresses
Primary practice location
1156 Highway 14
Ellsworth, KS 67439-8661
Mailing address
202 S Colorado St
Kanopolis, KS 67454-0091
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ellsworth@summitcare.net | Health Information Exchange (HIE) |
Other providers in Ellsworth, KS
- Christena Hanson
- Mackenzie Leigh Helman
- Mark A. Herzog
- Ashley Marie Hlad
- Sheri Jonsson
- Dennis Joseph Kepka
- Kyle Gwinner OD LLC
- Ryan T Lahey
- Emily S Lindsley
- Trevor Benjamin Lowe
All providers in Ellsworth, KS · Occupational Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.