Kelsy King, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTP-OTA-LIC-8892 Issued in MT

Practice address

901 SW Higgins Ave
Missoula, MT 59803-3600

Phone

(253) 590-3920

NPI assigned

Jul 11, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1801520341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42881 FLATHEAD VIEW DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607920",
            "telephone_number": "253-590-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598033600",
            "telephone_number": "253-590-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KELSY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "OTP-OTA-LIC-8892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King Family Behavioral Health
• Honeyrae King-Campbell, OPTICIAN
• Jennifer Lynn Dodson King, LCSW
• Jerry J King, PA-C
• Jesse King, LMFT
• Kenadee Lucille King
• Tony W King, PHARMD
• Anthony Earl Kinney, PT, DPT
• Nancy Lynn Kinsey, OTL
• Caroline Kinsley, MA, LPC, BC-DMT

• Occupational Therapy Assistant in Missoula, MT
• Providers in Missoula, MT by specialty
• Occupational Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.