Patricia Kelley, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-01424 Issued in OH

Practice address

2205 Henn Hyde Rd NE
Warren, OH 44484-1243

Phone

(330) 219-5901

NPI assigned

Jan 18, 2014

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": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390003200000",
    "number": "1932521382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 HENN HYDE RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 HENN HYDE RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841243",
            "telephone_number": "330-219-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PATRICIA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2014-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA-01424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacee Kehoe-Amsler, RN
• Amanda Kehres, LPN
• Kristie Kellar
• Eileen Ann Kelley, D.D.S.
• Kevin Daniel Kelley, M.D., PHD
• Donita H Kelly, LPTA
• Kellys Elite Boutique, LLC
• Mary E Kelty, LPN
• Kenneth D. Lapolla, D.D.S,, Inc (LaPolla Family Dentistry)
• Kenneth E. Jones, M.D., Inc. (Northeast Ohio Orthopedics)

• Occupational Therapy Assistant in Warren, OH
• Providers in Warren, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2014; 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.