Katelyn Marie Kellams, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

404281 Issued in NU

Practice address

8745 James a Reed Rd
Raytown, MO 64138-4414

Phone

(816) 761-4744

NPI assigned

Sep 12, 2018

Last updated

Sep 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1558844928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731620",
            "telephone_number": "573-450-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 JAMES A REED RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641384414",
            "telephone_number": "816-761-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAMS",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": "404281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST REGISTERED",
            "identifier": "404281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSED OCCUPATIONAL THERAPIST",
            "identifier": "2018026320",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Raytown, MO
• Providers in Raytown, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.