Chrystle M Kelly, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1073 Issued in TN

Practice address

2626 Walker Rd
Chattanooga, TN 37421-1116

Phone

(423) 490-1599

NPI assigned

Dec 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1952546145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RAINTREE LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374215340",
            "telephone_number": "423-316-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 WALKER RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211116",
            "telephone_number": "423-490-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRYSTLE",
        "middle_name": "M",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "1073",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne P Kelley, LPC/MHSP, NCC
• Kellie a Jolley MD PC
• Ana L Kelly, PT, DPT
• Anna Turner Kelly
• Cameron Rose Kelly
• Delbert R Kelly, D.D.S
• Heidi Lea Kelly, FNP-BC, MSN, MPH, RN
• Jessie Kelly, LMFT
• John Thomas Kelly, P.T.
• Leisha Kae Kelly, LPN

• Occupational Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.