Active NPI
Corrina Nicole McKelvey, MOT, OTR/L
- Occupational Therapist
- New London, CT
National Provider Identifier
1609431832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5907
- Practice address
- 365 Montauk Ave
New London, CT 06320-4700 - Phone
- (860) 442-0711
- NPI assigned
- May 2, 2019
- Reactivated
- Sep 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5907 | CT | Primary |
Addresses
Primary practice location
365 Montauk Ave
New London, CT 06320-4700
Mailing address
321 N Anguilla Rd
Pawcatuck, CT 06379-1249
Phone (860) 912-3177
Other practice location 1
403 N Frontage Rd
Waterford, CT 06385-4364
Phone (860) 444-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1609431832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N ANGUILLA RD",
"city": "PAWCATUCK",
"state": "CT",
"postal_code": "063791249",
"telephone_number": "860-912-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204700",
"telephone_number": "860-442-0711"
}
],
"practiceLocations": [
{
"address_1": "403 N Frontage Rd",
"address_purpose": "LOCATION",
"city": "Waterford",
"state": "CT",
"postal_code": "063854364",
"country_code": "US",
"telephone_number": "860-444-1111",
"fax_number": "860-440-1156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKELVEY",
"first_name": "CORRINA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"deactivation_date": "2026-08-20",
"reactivation_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.