Kelli Edmond, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22489 Issued in CA

Practice address

848 W Lancaster Blvd Ste 102
Lancaster, CA 93534-2347

Phone

(412) 979-6790

NPI assigned

May 1, 2018

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

Other names 1

• Kelli Edmond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Nurture Therapy Group, an Occupational Therapy Corporation

  • Occupational Therapist
  • Lancaster, CA
  • NPI 1982393161
  NPD

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1972091353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 PALAWAN WAY APT 309",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926228",
            "telephone_number": "412-979-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 W LANCASTER BLVD STE 102",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342347",
            "telephone_number": "412-979-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "KELLI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "EDMOND",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boryana Eastman, M.D., PH.D.
• Eastside Esd
• David E Eckel, D.C.
• Moneer J Eddin, M.D.
• Haley Edler
• Winston Love Edmond, PT
• Aimee Danielle Edmundo-Saucedo, AMFT APCC
• Edward T. Wong MD Inc
• Amina Edwards
• Brittany Edwards

• Occupational Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.