Katelyn Shelley, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201007984 Issued in MI

Practice address

1055 Cornell Rd
Fletcher Building
Ypsilanti, MI 48197-1657

Phone

(734) 487-2890

Fax

(734) 485-2892

NPI assigned

Feb 27, 2013

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

Other names 1

• Katelyn Oberlee 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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1881934867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CORNELL RD",
            "address_2": "FLETCHER BUILDING",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971657",
            "telephone_number": "734-487-2890",
            "fax_number": "734-485-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CORNELL RD",
            "address_2": "FLETCHER BUILDING",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971657",
            "telephone_number": "734-487-2890",
            "fax_number": "734-485-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "KATELYN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201007984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "OBERLEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarya Shehadeh
• Chinmaya Suhas Shelgikar, M.D.
• Renee O'Neill Sheline, MA, CCC-SLP
• Ethan Stanley Shell, PHARMD
• Richard Shellenberger, DO
• Craig Ricardo Shelton, DPM
• Teri Shemwell, LPN
• Daniel G. Sherick, M.D.
• Insiyah Sheriff
• Cornelius James Shields

• Pediatric Occupational Therapist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.