Korie L Kelver, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32002627A Issued in IN

Practice address

2600 Compass Rd
Glenview, IL 60026-8001

Phone

(877) 787-3422

NPI assigned

Jan 22, 2019

Last updated

Jan 22, 2019By 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

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1912461112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MANCHESTER DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "877-787-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Manchester Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466153233",
            "country_code": "US",
            "telephone_number": "574-370-4439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELVER",
        "first_name": "KORIE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002627A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth George Kells, MD
• Kelly Amrhein, PHD, PLLC
• Connie Kelly
• Jessica Kelly
• Sarah Kelly, PT, DPT
• Donald L Kerste, M.D.
• Marlene Kerstein, OT
• Maria Ketsios
• Richard Clendenin Keys, PTA
• Mirza Samiuddin Khan, M.D.

• Occupational Therapy Assistant in Glenview, IL
• Providers in Glenview, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.