Active NPI
Katie Kelly, MSOTR/L
- Occupational Therapist
- Monticello, NY
National Provider Identifier
1972024909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021564
- Practice address
- 162 E Broadway
Monticello, NY 12701 - Phone
- (845) 796-1350
- Fax
- (845) 791-8073
- NPI assigned
- Jun 29, 2017
- 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 | 021564 | NY | Primary |
Addresses
Primary practice location
162 E Broadway
Monticello, NY 12701
Mailing address
162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNH, Inc | Current | 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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Carbondale, PA
- NPI 1528068012
NPI Registry JSON
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": []
}
Other providers in Monticello, NY
Sources for this page
- 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.