Michelle Lynn Kellam, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1472 Issued in OK

Practice address

12899 E 76TH St N
Ste. 109
Owasso, OK 74055-4021

Phone

(918) 609-6003

Fax

(918) 609-6002

NPI assigned

Apr 10, 2014

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lynn Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabsource, LLC

  • Occupational Therapist
  • Oklahoma City, OK
  • NPI 1063425023
  NPD
• Imagine Pediatric Therapy, PLLC

  • Pediatric Occupational Therapist
  • Owasso, OK
  • NPI 1427257013
  NPD (past)
• Rehabsource-Therapy at Work, LLC

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
  • NPI 1073777991
  NPD (past)

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1942629506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WILL ROGERS PKWY STE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081808",
            "telephone_number": "405-948-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12899 E 76TH ST N",
            "address_2": "STE. 109",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554021",
            "telephone_number": "918-609-6003",
            "fax_number": "918-609-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JONES",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonja Kapchinsky
• Seth Kardasopoulos
• Kavanah Medical LLC (Rx Health & Wellness)
• Jessica Erin Kay, LCSW
• Melinda Keith, PT
• Jason Warren Keller, DPH.
• Amylyn Kelley
• Lana C Kelley, HAD
• Caitlin Marie Kelly, BCBA
• Lisa Emily Kelly

• Occupational Therapy Assistant in Owasso, OK
• Providers in Owasso, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.