Individual provider Active NPI

Kaitlyn Jean Elysee, OTR/L

  • Occupational Therapist
  • Walpole, MA
National Provider Identifier
1598374126
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008205 Issued in AZ
Practice address
1776 Washington St
Walpole, MA 02081-2404
Phone
(508) 208-8438
NPI assigned
Jul 29, 2020
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15031 MA
Occupational Therapist 225X00000X OTH-008205 AZ Primary

Addresses

Primary practice location

1776 Washington St
Walpole, MA 02081-2404

Mailing address

76 Pouts LN
Uxbridge, MA 01569-2182
Phone (774) 318-0402

Other practice location 1

2830 E Brown Rd Ste 1
Mesa, AZ 85213-5431
Phone (602) 875-5616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027000003 AZ Practitioner - Occupational Therapist in Private Practice 0648769158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1282 E Geronimo PL
Chandler, AZ 85225-2048

2830 E Brown Rd
Suite 1
Mesa, AZ 85213-5431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-008205AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CJPS Home Care, LLC CurrentSince Mar 21, 2021 Accepting new patients
Theracare PLLC Occupational Therapist CurrentSince Aug 12, 2025 Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

8679 E San Alberto
Scottsdale, AZ 85258
Phone (480) 447-3262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1598374126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 POUTS LN",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015692182",
            "telephone_number": "774-318-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 WASHINGTON ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812404",
            "telephone_number": "508-208-8438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 E Brown Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852135431",
            "country_code": "US",
            "telephone_number": "602-875-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELYSEE",
        "first_name": "KAITLYN",
        "middle_name": "JEAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "15031",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.