Active NPI
Kelly Ann Whitehead, MOTR/L
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1558898486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0008317
- Practice address
- 2375 Telstar Dr Ste 160
Colorado Springs, CO 80920-1043 - Phone
- (719) 305-5833
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007204 | VA | |
| Occupational Therapist | 225X00000X | OT.0008317 | CO | Primary |
Addresses
Primary practice location
2375 Telstar Dr Ste 160
Colorado Springs, CO 80920-1043
Mailing address
2375 Telstar Dr Ste 160
Colorado Springs, CO 80920-1043
Phone (719) 305-5833
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0008317 | CO | MD | Occupational Therapist |
| 0119007204 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1558898486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 TELSTAR DR STE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201043",
"telephone_number": "719-305-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 TELSTAR DR STE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201043",
"telephone_number": "719-305-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007204",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0008317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.