Kelli Dawn Kelley, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT344 Issued in OK

Practice address

8506 E 61St St
Tulsa, OK 74133-1926

Phone

(918) 698-9073

NPI assigned

Nov 4, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in OK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Rehab LLCGroup PAC ID 4486794591, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Rehab LLC

  • Physical Therapist
  • Madill, OK
  • NPI 1447480082

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Legacy Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Tulsa, OK
  • NPI 1275923583
  NPD (past)
• Union Public Schools

  • Local Education Agency (LEA)
  • Tulsa, OK
  • NPI 1093873192
  NPD (past)

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1760769707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 E 74TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333105",
            "telephone_number": "918-250-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 E 61ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331926",
            "telephone_number": "918-698-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KELLI",
        "middle_name": "DAWN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Kelley, LCSW
• Beverly Kay Kelley, RD,LD,CDE
• Carla Ann Kelley
• Jordan Kelley, OTR/L
• Joshua Kelley, D.P.T.
• Keneshia Dawn Kelley, M.ED
• Kim Kelley
• Michelle Kelley, M.D.
• Morgan Elaine Kelley
• Peggy Louise Kelley, LPC

• Occupational Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.