Kelly Talley, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2019005336 Issued in MO

Practice address

2706 NE Independence Ave
Lees Summit, MO 64064-2323

Phone

(816) 446-9018

Fax

(816) 554-1379

NPI assigned

Mar 3, 2019

Last updated

Jan 15, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Regional Therapy Services, Inc.

  • Counselor
  • Rogers, AR
  • NPI 1437716701
  NPD (past)

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1730647306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 SW RIVER TRAIL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640827811",
            "telephone_number": "816-446-9018",
            "fax_number": "816-554-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 NE INDEPENDENCE AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642323",
            "telephone_number": "816-446-9018",
            "fax_number": "816-554-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "KELLY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2019005336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Taber, PHARMD
• Malathi Tadakamalla, M.D.
• Robert Jack Takacs, M.D.
• Devon Talbert, NP
• Ahmed Sidiya Taleb Abdellah, M.D
• Donald Edwin Tanner, FNP-C
• Marc Kenneth Taormina, MD
• Saad Masood Tarar
• Randy J Tarvin, MD
• Brianda L Taylor, PHARMD

• Occupational Therapy Assistant in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.