Active NPI
Kelsey Orielly, OT
- Occupational Therapist
- Lithonia, GA
National Provider Identifier
1942855051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007460
- Practice address
- 7162 Lone Oak Way
Lithonia, GA 30058-8291 - Phone
- (770) 990-0928
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007460 | Primary |
Addresses
Primary practice location
7162 Lone Oak Way
Lithonia, GA 30058-8291
Mailing address
7162 Lone Oak Way
Lithonia, GA 30058-8291
Phone (770) 990-0928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT007460 | Other | GA | GA STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@fmtherapies.com |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1942855051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7162 LONE OAK WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300588291",
"telephone_number": "770-990-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7162 LONE OAK WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300588291",
"telephone_number": "770-990-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORIELLY",
"first_name": "KELSEY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "OT007460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA STATE LICENSE",
"identifier": "OT007460",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@fmtherapies.com",
"affiliation": "N",
"address_1": "7162 Lone Oak Way",
"city": "Lithonia",
"state": "GA",
"country_code": "US",
"postal_code": "300588291",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.