Kelsey Bower, OTA
Individual provider Active NPI Occupational Therapy Assistant · Lafayette, IN
NPI 1710150396 · NPPES record last updated Mar 5, 2019
Key facts
- NPI
- 1710150396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 99030729A (IN)
- Practice address
- 3741 Rome Dr Ste a
Lafayette, IN 47905-4490 - Phone
- (765) 250-3662
- NPI assigned
- Apr 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99030729A | IN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alotta Therapy,LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 99030729A | IN | Yes |
Addresses
Primary practice location
3741 Rome Dr Ste a
Lafayette, IN 47905-4490
Mailing address
3741 Rome Dr Ste a
Lafayette, IN 47905-4490
Phone (765) 250-3662
Other practice location 1
2400 College Ave
Goshen, IN 46528-5010
Phone (574) 533-0351 ext. 119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Other providers in Lafayette, IN
- Mallory Bottorff
- Sarah L Boulac
- Claire Bour
- Jarred Bowden
- Corbin Bower
- David Alan Bowman
- Karisa Bowman
- Kelly Boyd
- Brooke Lynae Boyer
- Dorothy Arlene Bradbury
All providers in Lafayette, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.