Kelsey Peck, OTRL
Individual provider Active NPI Occupational Therapist · Eaton Rapids, MI
NPI 1720868268 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1720868268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201010915 (MI)
- Practice address
- 1500 S Main St
Eaton Rapids, MI 48827-1952 - Phone
- (517) 663-9531
- NPI assigned
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5201010915 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010915 | MI | Yes |
Addresses
Primary practice location
1500 S Main St
Eaton Rapids, MI 48827-1952
Mailing address
10492 Charlotte Hwy
Portland, MI 48875-8405
Phone (571) 526-3630
Other providers in Eaton Rapids, MI
- Leslie Ann Neubecker-Czubko
- Steve Lee Neugent
- Suzanne T O'Rourke
- Diann Gail Parker
- Paul D Hankenson DO PC
- Jasmin M Perez
- Megan Perfitt
- Andrea Perry
- Christal Ann Pettit
- Tess Marie Powell
All providers in Eaton Rapids, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. 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.