Active NPI
Kelsey Schultz, OTR/L
- Occupational Therapist
- Fairbanks, AK
National Provider Identifier
1902295587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 210682
- Practice address
- 1327 Kalakaket St
Fairbanks, AK 99709-4917 - Phone
- (907) 452-4517
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 210682 | AK | Primary |
Addresses
Primary practice location
1327 Kalakaket St
Fairbanks, AK 99709-4917
Mailing address
4301 Pitt St
Duluth, MN 55804-1962
Other practice location 1
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 234-9591
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210682 | AK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkabout Inc | Occupational Therapist | Past | 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": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1902295587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 PITT ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 KALAKAKET ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094917",
"telephone_number": "907-452-4517"
}
],
"practiceLocations": [
{
"address_1": "3415 SE Powell Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972023371",
"country_code": "US",
"telephone_number": "503-234-9591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "KELSEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "210682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.