Kelli Anne Farhat, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21360 Issued in CA

Practice address

5446 N Academy Blvd
Colorado Springs, CO 80918-3644

Phone

(719) 598-5555

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1114282779
  Medicare reassignment NPD
• Bayside Speech Therapy, Inc.

  • Clinic/Center
  • New Port Richey, FL
  • NPI 1578954962

  Occupational Therapist

  NPD
• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • Temecula, CA
  • NPI 1194447888
  NPD

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619495751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL",
            "address_2": "STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "858-357-9450",
            "fax_number": "858-412-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5446 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183644",
            "telephone_number": "719-598-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 E Lansing Dr",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488237755",
            "country_code": "US",
            "telephone_number": "517-332-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5647 Gulf Dr",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346524019",
            "country_code": "US",
            "telephone_number": "727-645-6542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARHAT",
        "first_name": "KELLI",
        "middle_name": "ANNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014254700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Lee Fansler, MD
• Janette Ellen Fant, NP
• Azmi E Farag, M.D.
• Sameera F Fareed-Farrukh, M.D.
• Matthew Vernon Fargo, M.D.
• Erika Faria, PA-C
• Patrick O Faricy, M.D.
• Mitchell Lee Faris, PHARM.D.
• Stephen S Farkas, DO
• Sharandis Farley-Jennings

• Occupational Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.