Kelly Eppler, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3992 Issued in TN

Practice address

2794 Madison Ave Apt 8
Memphis, TN 38111-2002

Phone

(615) 848-8100

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kelly Durcholz Former name

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1750615407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 MADISON AVE APT 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 MADISON AVE APT 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112002",
            "telephone_number": "615-848-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPLER",
        "first_name": "KELLY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "3992",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DURCHOLZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Mark Eppel, M.D.
• Rebecca Anne Epperly, MD
• Aaron B Epperson, DO
• John Epperson
• Michael Epperson
• April Renae Epps-Carter, FNP-C
• Katyana Lashelle Epps, CNA
• John Thomas Epting, MD
• Equity Financial, LLC
• Krista Eileen Erbele, M.D.

• Pediatric Occupational Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.