Shannon Kelly, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16889 Issued in CA

Practice address

6960 Destiny Dr Ste 112
Rocklin, CA 95677-2995

Phone

(916) 415-0119

NPI assigned

Jan 30, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Baby Steps Therapy

  • Occupational Therapist
  • Rocklin, CA
  • NPI 1184991861
  NPD (past)
• Baby Steps Therapy

  • Occupational Therapist
  • Rocklin, CA
  • NPI 1629254032
  NPD (past)

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1821535741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 DESTINY DR STE 112",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772995",
            "telephone_number": "916-415-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 DESTINY DR STE 112",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772995",
            "telephone_number": "916-415-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davone Kearse
• Melanie Keith, LAC
• Savannah Layne Hullin Keith
• Melissa Keller
• Megan Kelley
• Dana Rae Kenney, MA, ATC
• Martin Luke Kerzie, D.M.D.
• Rochelle Renee Ketchum
• Lila Khairandish
• Huma Khan, MD

• Occupational Therapist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.