Kelly Ann Peters, MA OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103086 Issued in MN

Practice address

9346 Oak Ave
Waconia, MN 55387

Phone

(952) 223-2506

Fax

(952) 443-2038

NPI assigned

Jul 5, 2006

Last updated

Jan 8, 2020By the provider in NPPES

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunnydays Therapy Inc

  • Occupational Therapist
  • Waconia, MN
  • NPI 1891914412
  Medicare reassignment NPD Authorized official
• Sunnydays Therapy LLC

  • Speech-Language Pathologist
  • Waconia, MN
  • NPI 1265805121
  NPD Authorized official
• Sunnydays Therapy Inc

  • Occupational Therapist
  • Waconia, MN
  • NPI 1669751301
  NPD (past) Authorized official
• Sunnydays Therapy Inc

  • Occupational Therapist
  • Waconia, MN
  • NPI 1932488673
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1861423303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9346 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-223-2506",
            "fax_number": "952-443-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9346 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "55387",
            "telephone_number": "952-223-2506",
            "fax_number": "952-443-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "MA OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Peglow, MD
• John Michael Peitersen, MD
• Brandon James Penaz, DDS
• Abbigail Pepka
• Brittney J Perlich, CCC - SLP
• Kirstin Amber Peters, MS, OTR/L
• Gregory Matthew Peterson, M.D.
• Mark C Peterson
• Boriana I Petkov, MD
• Robin Lee Petrich, APRN

• Occupational Therapist in Waconia, MN
• Providers in Waconia, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.