Individual provider Active NPI

Kelly Musgrove

  • Occupational Therapist
  • Saint Johns, FL
National Provider Identifier
1538035050
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT26400 Issued in FL
Practice address
2430 County Road 210 W Ste B
Saint Johns, FL 32259-2451
Phone
(904) 717-7782
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 OT26400 FL Primary

Addresses

Primary practice location

2430 County Road 210 W Ste B
Saint Johns, FL 32259-2451

Mailing address

2430 County Road 210 W Ste B
Saint Johns, FL 32259-2451
Phone (904) 717-7782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028004661 FL Practitioner - Occupational Therapist in Private Practice 5496244600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RWW Senior Living Outpatient Rehab Services LLCGroup PAC ID 2163954314, 56 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

3260 Lake Pointe Blvd
Sarasota, FL 34231-6896
Phone (866) 808-4133

4540 Bee Ridge Rd
Sarasota, FL 34233-2567
Phone (941) 413-0417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT26400FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Oct 24, 2025 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Oct 24, 2025 Accepting new patients
Rehab in Motion, LLC Occupational Therapist Past Accepting new patients

Locations

10605 S Jog Rd
Boynton Beach, FL 33437
Phone (561) 413-6807

3260 Lake Pointe Blvd
Sarasota, FL 34231
Phone (941) 306-3739

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 4

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1538035050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 COUNTY ROAD 210 W STE B",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592451",
            "telephone_number": "904-717-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 COUNTY ROAD 210 W STE B",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592451",
            "telephone_number": "904-717-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT26400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.