Kellie Janski Bowers, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5679 Issued in MN

Practice address

7570 Market Place Dr
Eden Prairie, MN 55344-3636

Phone

(952) 944-0240

NPI assigned

Feb 14, 2019

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

• Kellie Janski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Homegrown Kids LLC

  • Home Health Agency
  • Eden Prairie, MN
  • NPI 1164241360
  NPD Authorized official
• Therapy for Me

  • Speech-Language Pathologist
  • Eden Prairie, MN
  • NPI 1669627154
  NPD

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1952867970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 WOODHILL TRL",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 MARKET PLACE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636",
            "telephone_number": "952-944-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "KELLIE",
        "middle_name": "JANSKI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "5679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "JANSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen A Bonfilio, PHD
• Brittni Borchardt
• Anna Borell, LPCC
• Kimberly Kaye Borrell, NCTMB
• John Borsheim, D.C.
• Oshenna Bowman, NP
• Rachel Tetlie Boyer
• Paul E Bozoian, DMD
• Christina Marie Braatz, MSN, RN, CNP
• Stace Todd Bradshaw, M.D.

• Pediatric Occupational Therapist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.