Kelly Marie Schwesig, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00440400 Issued in NJ

Practice address

3 Maplebrook CT
Cherry Hill, NJ 08034-3762

Phone

(609) 870-8954

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By the provider in NPPES

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

Other names 1

• Kelly Marie Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1881465292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAPLEBROOK CT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343762",
            "telephone_number": "609-870-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAPLEBROOK CT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343762",
            "telephone_number": "609-870-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWESIG",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00440400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SULLIVAN",
            "middle_name": "MARIE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.