Individual provider Active NPI

Helen M Kelley, OTR/L

  • Occupational Therapist
  • Kernersville, NC
National Provider Identifier
1851310163
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5160 Issued in NC
Practice address
1031 E Mountain St
Building 318, Suite 101
Kernersville, NC 27284-7997
Phone
(336) 996-4980
Fax
(336) 996-3521
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5160 NC Primary

Addresses

Primary practice location

1031 E Mountain St
Building 318, Suite 101
Kernersville, NC 27284-7997

Mailing address

1031 E Mountain St
Building 318, Suite 101
Kernersville, NC 27284-7997
Phone (336) 996-4980

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5160NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kernersville Rehab Specialists LLC Occupational Therapist PastSince Jun 9, 2003 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851310163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E MOUNTAIN ST",
            "address_2": "BUILDING 318, SUITE 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847997",
            "telephone_number": "336-996-4980",
            "fax_number": "336-996-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E MOUNTAIN ST",
            "address_2": "BUILDING 318, SUITE 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847997",
            "telephone_number": "336-996-4980",
            "fax_number": "336-996-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "HELEN",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.