Kelley Ann Else, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007632 Issued in MI

Practice address

10909 Hannan Rd
Romulus, MI 48174-1383

Phone

(734) 893-1033

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Wayne State University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilire NeurorehabilitationGroup PAC ID 7719304237, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Resilire Neurorehabilitation

  • Rehabilitation Clinic/Center
  • Troy, MI
  • NPI 1386254340
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1639517048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 PEARSON ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201603",
            "telephone_number": "248-250-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 HANNAN RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741383",
            "telephone_number": "734-893-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSE",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latice Drakeford
• Dva Renal Healthcare Inc (Romulus Dialysis)
• Eagle Home Care Inc
• Elder Care Place LLC
• Elevate ABA LLC
• Hana Elshukri Jumah, RN
• Embrace Sacred Doula Services
• Epoch LLC (Advent Home I)
• Essential Care Case Management
• Denzel Evans

• Occupational Therapist in Romulus, MI
• Providers in Romulus, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.