Individual provider Active NPI

Grace Ann Kelly, OTR/L

  • Occupational Therapist
  • Concord, NC
National Provider Identifier
1902303779
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010001514 Issued in DC
Practice address
4401 Old Airport Rd
Concord, NC 28025-7188
Phone
(704) 260-5600
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT010001514 DC Primary
Occupational Therapist 225X00000X 12250 NC
Occupational Therapist 225X00000X 0119-008292 VA

Addresses

Primary practice location

4401 Old Airport Rd
Concord, NC 28025-7188

Mailing address

4401 Old Airport Rd
Concord, NC 28025-7188
Phone (704) 260-5600

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

LicenseStateTypeSpecialty
OT010001514DCMDOccupational Therapist
0119-008292VAMDOccupational Therapist
12250NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Skills on the Hill, LLC Occupational Therapist CurrentSince Aug 7, 2022 Accepting new patients

Locations

1301 Pennsylvania Ave SE
Bsmt
Washington, DC 20003
Phone (202) 335-7968

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1902303779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 OLD AIRPORT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257188",
            "telephone_number": "704-260-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 OLD AIRPORT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257188",
            "telephone_number": "704-260-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010001514",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12250",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-008292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.