Active NPI
Kelly Nicole Reese, MS, OTR/L
- Occupational Therapist
- Scottsdale, AZ
National Provider Identifier
1801487954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5604
- Practice address
- 7325 E Princess Blvd
Scottsdale, AZ 85255-5991 - Phone
- (262) 894-9876
- NPI assigned
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5604 | AZ | Primary |
Addresses
Primary practice location
7325 E Princess Blvd
Scottsdale, AZ 85255-5991
Mailing address
2716 E Quiet Hollow LN
Phoenix, AZ 85024-6226
Phone (262) 894-9876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210305000482 | AZ | Practitioner - Occupational Therapist in Private Practice | 5496161077 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5604 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1801487954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 E QUIET HOLLOW LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850246226",
"telephone_number": "262-894-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7325 E PRINCESS BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555991",
"telephone_number": "262-894-9876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "KELLY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.