Kelly A Nydahl

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

5409 Maryland Way Ste 140
Brentwood, TN 37027-1088

Phone

(615) 723-2844

NPI assigned

May 1, 2020

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

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1851912703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY STE 140",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY STE 140",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271088",
            "telephone_number": "615-723-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDAHL",
        "first_name": "KELLY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Marie Nuta, FNP-C
• Uju Elizabeth Nwizu, DDS
• John Chukwujekwu Nwofia, M.D.
• Madubueze Nwozo, M.D.
• Nneamaka Agochukwu Nwubah, M.D.
• Kylie Nystrom, R. EP T., CNIM
• Dylan O'Brien
• Shannon O'Donnell
• Fiorella Ghiggo O'Donova, LCSW
• Kyle O'Rorke

• Occupational Therapist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.