Individual provider Active NPI

Kaitlyn Amber Cook Pelli, OTR/L

  • Occupational Therapist
  • Princeton, NJ
National Provider Identifier
1780216630
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00890400 Issued in NJ
Practice address
219 Wall St
Princeton, NJ 08540-1512
Phone
(609) 921-1555
NPI assigned
Feb 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00890400 NJ Primary

Addresses

Primary practice location

219 Wall St
Princeton, NJ 08540-1512

Mailing address

219 Wall St
Princeton, NJ 08540-1512
Phone (609) 921-1555

Other practice location 1

623 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2948
Phone (973) 939-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00890400NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Otapkids LLC CurrentSince Oct 16, 2022 Accepting new patients
Occupational Therapy Associates of Princeton PastSince Oct 16, 2022 Accepting new patients

Locations

219 Wall St
Princeton, NJ 08540
Phone 6097219234 ext. 60972

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1780216630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401512",
            "telephone_number": "609-921-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401512",
            "telephone_number": "609-921-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 Eagle Rock Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070522948",
            "country_code": "US",
            "telephone_number": "973-939-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLI",
        "first_name": "KAITLYN",
        "middle_name": "AMBER COOK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00890400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.