Individual provider Active NPI

Kelly Susan Bell, PT

  • Occupational Therapist
  • Columbus, OH
National Provider Identifier
1932252525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.005788 Issued in OH
Practice address
1120 Polaris Pkwy Ste 204
Columbus, OH 43240-4042
Phone
(614) 340-7587
Fax
(614) 340-7588
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.005788 OH Primary

Addresses

Primary practice location

1120 Polaris Pkwy Ste 204
Columbus, OH 43240-4042

Mailing address

1376 Faulle Ave
East Liverpool, OH 43920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916001843 OH Practitioner - Occupational Therapist in Private Practice 6507847555 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.005788OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jun 29, 2021 Accepting new patients
At Home by Enhance Therapies LLC Occupational Therapist CurrentSince Sep 1, 2022 Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Tender Touch at Home NJ LLC Past Accepting new patients
Tudor Home Therapies Inc Occupational Therapist Past Accepting new patients
CB Thiel & Associates Inc., Dba Health Care Plus Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 6

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932252525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 FAULLE AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "43920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 POLARIS PKWY STE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404042",
            "telephone_number": "614-340-7587",
            "fax_number": "614-340-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KELLY",
        "middle_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.005788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.