Active NPI
Kelly Seelye
- Occupational Therapist
- Portage, MI
National Provider Identifier
1841568987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4702
- Practice address
- 4024 W Centre Ave Apt 118
Portage, MI 49024-4664 - Phone
- (269) 207-3626
- NPI assigned
- Dec 4, 2011
- Last updated
- Dec 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 4702 | AZ | Primary |
Addresses
Primary practice location
4024 W Centre Ave Apt 118
Portage, MI 49024-4664
Mailing address
4024 W Centre Ave Apt 118
Portage, MI 49024-4664
Phone (269) 207-3626
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4702 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322956800000",
"number": "1841568987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 W CENTRE AVE APT 118",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244664",
"telephone_number": "269-207-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 W CENTRE AVE APT 118",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244664",
"telephone_number": "269-207-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELYE",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-04",
"last_updated": "2011-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.