Kelley Walz, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014892 Issued in NY

Practice address

76 Veterans Ave
Bath, NY 14810-0810

Phone

(607) 664-4501

Fax

(607) 664-4503

NPI assigned

Dec 29, 2022

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

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1730892332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 DAVIS RD",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148309405",
            "telephone_number": "607-331-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 VETERANS AVE",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148100810",
            "telephone_number": "607-664-4501",
            "fax_number": "607-664-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "KELLEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lee Walker, LMSW
• Emmett Earl Walker, LCSW-R
• Jodi H. Walker, BS, PHARM.D., BCPS
• Susan Irene Walsh, NP
• Meghan M Walters, FNP
• Roger Waters, MD
• Tara M Watson
• Brandy Dawn Weber-Minor, RD,CD-N
• Lisa Marie Webster, PT
• Penny Wedd, CASAC

• Occupational Therapist in Bath, NY
• Providers in Bath, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.