Teresa Marie Kelly

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC003020L Issued in PA

Practice address

930 Springhouse Rd
Allentown, PA 18104-3363

Phone

(610) 390-5014

Fax

(610) 398-7134

NPI assigned

Oct 24, 2022

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)

Not enrolled

State licenses

Practice roles

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.

• Jump Start of the Lehigh Valley, LLC

  • Early Intervention Provider Agency
  • Allentown, PA
  • NPI 1326450180
  NPD (past)
• Schechtman Developmental Services

  • Early Intervention Provider Agency
  • Allentown, PA
  • NPI 1881968949
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1558088286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SPRINGHOUSE RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043363",
            "telephone_number": "610-390-5014",
            "fax_number": "610-398-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SPRINGHOUSE RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043363",
            "telephone_number": "610-390-5014",
            "fax_number": "610-398-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Westwoods Pl",
            "address_purpose": "LOCATION",
            "city": "Orefield",
            "state": "PA",
            "postal_code": "180692500",
            "country_code": "US",
            "telephone_number": "610-517-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003020L",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC003020L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita L Kelly, MA LPC
• Gail Kelly, R.N.
• Joseph B Kelly, LPC
• Kiel Kelly, CRNA
• Marie A Kelly
• Tricia Kelly, MD
• Tatyana Kemarskaya, M.D.
• Crystal Marie Kemmerer, CRNP
• Nichole Kemmerer, LPC
• Daniel Emilio Kennedy-Schwed, M.D.

• Occupational Therapist in Allentown, PA
• Providers in Allentown, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.