Individual provider Active NPI

Kelsey Ann Henry

  • Occupational Therapist
  • Aurora, CO
National Provider Identifier
1609580455
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6533 Issued in CO
Practice address
6155 S Main St Ste 200
Aurora, CO 80016-5405
Phone
(720) 542-8737
Fax
(720) 242-8082
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6533 CO Primary

Addresses

Primary practice location

6155 S Main St Ste 200
Aurora, CO 80016-5405

Mailing address

6851 S Holly Cir Ste 295
Centennial, CO 80112-1019
Phone (720) 542-8737

Other names 1

  • Kelsey Odell Former name

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

LicenseStateTypeSpecialty
6533COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Speech Therapy Associates Occupational Therapist CurrentSince Jan 8, 2023 Accepting new patients
Pediatric Speech Therapy Associates PastSince Jan 8, 2023 Accepting new patients

Locations

6155 S Main St
Ste 200
Aurora, CO 80016
Phone (719) 649-0101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1609580455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 295",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121019",
            "telephone_number": "720-542-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 S MAIN ST STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165405",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ODELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.