Active NPI
Kaitlyn Jean Elysee, OTR/L
- Occupational Therapist
- Walpole, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008205
- Practice address
- 1776 Washington St
Walpole, MA 02081-2404 - Phone
- (508) 208-8438
- NPI assigned
- Jul 29, 2020
- Last updated
- Jul 17, 2026
- 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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-008205 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CJPS Home Care, LLC | Current | Accepting new patients | |
| Theracare PLLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Peoria, AZ
- NPI 1962784249
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1508441932
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.