Kelsey Marmarou

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC017126 Issued in PA

Practice address

4455 24TH Ave Ste 120
Fort Gratiot, MI 48059-4516

Phone

(248) 232-0905

Fax

(248) 648-3668

NPI assigned

Nov 9, 2020

Last updated

Mar 10, 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

• Kelsey Farmer Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1942801659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 24TH AVE STE 120",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594516",
            "telephone_number": "248-232-0905",
            "fax_number": "248-648-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMAROU",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "FARMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luxottica of America Inc. (Lenscrafters #564)
• Sheila Lyne
• Madison R Macrury
• Michelle Crystal Mann, MSN, FNP-BC
• Jennifer Joy Marlin, PA-C
• Brent Duane Marquardt, MS, CCC-SLP
• Megan Nicole Marr
• Jennifer Elizabeth Marshall
• Tiffany M Martinez
• Shelly Marzka

• Occupational Therapist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.