Amelia Lee Kellar, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT21620 Issued in FL

Practice address

50 Executive Way
Ponte Vedra, FL 32082-2771

Phone

(904) 644-1974

NPI assigned

Jun 26, 2018

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

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1922593557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EXECUTIVE WAY",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320822771",
            "telephone_number": "904-644-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EXECUTIVE WAY",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320822771",
            "telephone_number": "904-644-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Kepner Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995043061",
            "country_code": "US",
            "telephone_number": "907-491-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "AMELIA",
        "middle_name": "LEE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "133246",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT21620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Kasych, PT
• Katherine Fox, Pys.D. PA
• Kathleen Patneau
• Jenna Kay, DPT
• Keel Spine & Performance, PLLC
• Brittany Buchanan Kelly, APRN
• Kimberly E Kennell, MS, CCC-SLP
• Amber Lee Kenney, MPT, MTC
• Michael William Kessler, DDS
• Jennifer Keyworth

• Pediatric Occupational Therapist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.