Individual provider Active NPI

Kelsey Elizabeth Lagarde, OTR/L

  • Occupational Therapist
  • Laurel, MD
National Provider Identifier
1982304556
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09594 Issued in MD
Practice address
14235 Park Center Dr
Laurel, MD 20707-5261
Phone
(301) 498-8100
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 09594 MD Primary

Addresses

Primary practice location

14235 Park Center Dr
Laurel, MD 20707-5261

Mailing address

PO Box 500
Brookeville, MD 20833-0500
Phone (301) 498-8100

Other identifiers 1

IdentifierTypeStateIssuer
09594OtherMDMARYLAND DEPARTMENT OF HEALTH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09594MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 Basics Nutrition LLC Occupational Therapist Past Accepting new patients
Rehabilitation Services, Inc. Occupational Therapist PastSince Mar 1, 2023 Accepting new patients
Associated Professional Rehabilitation Services, Inc. Occupational Therapist PastSince Mar 1, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1982304556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208330500",
            "telephone_number": "301-498-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14235 PARK CENTER DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075261",
            "telephone_number": "301-498-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGARDE",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH",
            "identifier": "09594",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.