Individual provider Active NPI

Kelli Denise Minga, OTA

  • Occupational Therapy Assistant
  • Clinton, TN
National Provider Identifier
1548104896
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2110 Issued in TN
Practice address
117 Elizabethton Way
Clinton, TN 37716-4032
Phone
(865) 314-0005
Fax
(865) 332-1900
NPI assigned
Apr 16, 2026
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2110 TN Primary

Addresses

Primary practice location

117 Elizabethton Way
Clinton, TN 37716-4032

Mailing address

117 Elizabethton Way
Clinton, TN 37716-4032
Phone (865) 314-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2110TNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1548104896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELIZABETHTON WAY",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377164032",
            "telephone_number": "865-314-0005",
            "fax_number": "865-332-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ELIZABETHTON WAY",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377164032",
            "telephone_number": "865-314-0005",
            "fax_number": "865-332-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGA",
        "first_name": "KELLI",
        "middle_name": "DENISE",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.