Katie Kelly, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021564 Issued in NY

Practice address

162 E Broadway
Monticello, NY 12701

Phone

(845) 796-1350

Fax

(845) 791-8073

NPI assigned

Jun 29, 2017

Last updated

Jul 21, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CNH, Inc

  dba Carbondale Nursing Home

  • Skilled Nursing Facility
  • Carbondale, PA
  • NPI 1528068012
  NPD

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972024909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127018815",
            "telephone_number": "845-796-1350",
            "fax_number": "845-791-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-796-1350",
            "fax_number": "845-791-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATIE",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylas Place
• Kaylas Place
• Danielle Marie Kean, C.O.T.A
• Jason Kean, COTA
• Maureen D Kellerman-Collins, MS CCC-SLP
• Cieara Kerr, RN
• Rohit Kesar, PT
• Alan Kesten
• Kelly Ann Ketcham, RN, CPHQ
• KHK Operating Corp (Gusar's Pharmacy)

• Occupational Therapist in Monticello, NY
• Providers in Monticello, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.