Laura Katelyn Kelly

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023842-01 Issued in NY

Practice address

245 Newtown Rd
Plainview, NY 11803-4316

Phone

(516) 802-2518

NPI assigned

Aug 28, 2019

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)

Enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1770131377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BAMBOO LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014550",
            "telephone_number": "516-474-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NEWTOWN RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034316",
            "telephone_number": "516-802-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAURA",
        "middle_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023842-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Michael Keck, MD
• Efraim Junior Keisari, M.D.
• John Kelemen, M.D.
• Angela Kelly
• Gary Kelly, R,PH,
• Valerie Kelly
• Shannon Murphy Kennedy
• Kenneth R. Wilkes M.D P.C
• Jonathan Kent, PSY.D.
• Fiona Kerin

• Occupational Therapist in Plainview, NY
• Providers in Plainview, 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 Aug 28, 2019; 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.