Polly Durant Kellner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT17347 Issued in CA

Practice address

1640 Marengo St Suite 500
Los Angeles, CA 90089-0186

Phone

(323) 442-3340

NPI assigned

Apr 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Durant Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Therapies, Inc.

  • Pediatric Physical Therapist
  • Arcadia, CA
  • NPI 1114166055

  Pediatrics

  NPD (past)
• Usc Occupational Therapy Faculty Practice, Inc.

  • Occupational Therapist
  • Los Angeles, CA
  • NPI 1831297340
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1922531649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MARENGO ST SUITE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890186",
            "telephone_number": "323-442-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "POLLY",
        "middle_name": "DURANT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17347",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT17347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DURANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal Kelley
• Kevin Kelley, L.M.F.T.
• Robin Kate Kelley, MD
• David Aaron Kellner
• Maria Kellner, M.D.
• Alexander J Kellogg, PHARMD
• Toni Sue Kells, AMFT, LAADC
• Antoinette Kellum
• Kelly Ho, D.D.S.
• Angel Rene Kelly-Blaydes, MSW

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.