Individual provider Active NPI

Kelsey Marie Delker

  • Occupational Therapy Assistant
  • Clermont, FL
National Provider Identifier
1942852405
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
17085 Issued in FL
Practice address
2400 S Highway 27
Clermont, FL 34711-6816
Phone
(352) 394-0212
NPI assigned
Jul 15, 2019
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 17085 FL Primary

Addresses

Primary practice location

2400 S Highway 27
Clermont, FL 34711-6816

Mailing address

629 Jamestown Blvd Apt 2224
Altamonte Springs, FL 32714-4635

Other practice location 1

245 Bellagio Cir
Sanford, FL 32771-5001
Phone (407) 878-7664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17085FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Therapy, Inc. PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1942852405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 JAMESTOWN BLVD APT 2224",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S HIGHWAY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116816",
            "telephone_number": "352-394-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Bellagio Cir",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327715001",
            "country_code": "US",
            "telephone_number": "407-878-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELKER",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.