Jennifer Emily Kelley, MSOTRL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA00357 Issued in RI

Practice address

425 Phillips Hill Rd
Coventry, RI 02816-4841

Phone

(401) 385-3558

NPI assigned

Mar 22, 2007

Last updated

Sep 16, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1750407433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PHILLIPS HILL RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028164841",
            "telephone_number": "401-623-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PHILLIPS HILL RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028164841",
            "telephone_number": "401-385-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JENNIFER",
        "middle_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "MSOTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "RI",
            "license": "OTA00357",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Joubert, LMHC
• Tina Kanaczet, MS
• Kristen Elizabeth Kane, PA
• Michelle Elizabeth Kane, OTR/L
• Julie Keenan
• Maggie Danielle Kennedy, COTA/L
• Sara Rose Kent, PHARMD
• Carrilynn Kissinger
• Juliana Kohler, PHARMD
• Marina Korennaya, PHARMD

• Occupational Therapy Assistant in Coventry, RI
• Providers in Coventry, RI by specialty
• Occupational Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.