Elise Marie Kelly, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2913 Issued in CO

Practice address

3235 Mill Vista Rd
Highlands Ranch, CO 80129-2440

Phone

(303) 876-8355

NPI assigned

Oct 9, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1447725130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 NORMANDY RD",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804014124",
            "telephone_number": "720-315-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 MILL VISTA RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292440",
            "telephone_number": "303-876-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ELISE",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CO",
            "license": "2913",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy McGuire Limited
• Stanley Katz, RPH
• Jessica Campbell Kauk, D.O.
• Walter Chad Keasler III, OTR
• Amy M Keller, PT
• Sarah R Kelly, P.T.
• Tim Kelly, PHARM D
• Mary Kay Kennedy, MA,LPC,CACIII
• April Renee Kenworthy, RDH
• David Kern, MD

• Occupational Therapist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.