Individual provider Active NPI

Kelsey Colby

  • Occupational Therapist
  • Camarillo, CA
National Provider Identifier
1497408850
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23087 Issued in CA
Practice address
4960 Verdugo Way
Camarillo, CA 93012-8632
Phone
(805) 222-4731
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 23087 CA Primary

Addresses

Primary practice location

4960 Verdugo Way
Camarillo, CA 93012-8632

Mailing address

PO Box 1015
Franklin, TN 37065-1015
Phone (805) 765-4773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220215002500 CA Practitioner - Occupational Therapist in Private Practice 8123411196 Reassigns benefits to 1 organization
I20240918003940 KS Practitioner - Occupational Therapist in Private Practice 8123411196 Reassigns benefits to 2 organizations
I20250506002267 MO Practitioner - Occupational Therapist in Private Practice 8123411196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, shared by 4 NPIs, 207 clinicians
Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, shared by 6 NPIs, 152 clinicians

Practice addresses (Care Compare)

1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220

4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745

9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23087CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC CurrentSince Apr 25, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Apr 25, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Occupational Therapist CurrentSince Jan 17, 2022 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Apr 25, 2025 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Apr 25, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc CurrentSince Jan 17, 2022 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Apr 25, 2025 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Apr 25, 2025 Accepting new patients

Locations

4960 Verdugo Way
Camarillo, CA 93012
Phone (805) 222-4731

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1497408850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1015",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370651015",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-222-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.