Individual provider Active NPI

Kelly A Vadala, OTRL

  • Occupational Therapist
  • Salem, NH
National Provider Identifier
1649229295
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1685 Issued in NH
Practice address
13 Red Roof LN
Salem, NH 03079-2929
Phone
(603) 898-9947
Fax
(603) 898-9949
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1685 NH Primary

Addresses

Primary practice location

13 Red Roof LN
Salem, NH 03079-2929

Mailing address

13 Red Roof LN
Salem, NH 03079-2929
Phone (603) 898-9947

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1685NHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649229295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RED ROOF LN",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792929",
            "telephone_number": "603-898-9947",
            "fax_number": "603-898-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RED ROOF LN",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792929",
            "telephone_number": "603-898-9947",
            "fax_number": "603-898-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADALA",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.