Kelly Marie Adair, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT007772 Issued in GA

Practice address

5250 Camden Lake Pkwy NW
Acworth, GA 30101-8076

Phone

(502) 593-5912

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

Yes

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)

Not 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 and National Provider Directory roles.

• Rand Speech Pathology LLC

  • Behavior Analyst
  • Decatur, GA
  • NPI 1659440329
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1992317499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 CAMDEN LAKE PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018076",
            "telephone_number": "502-593-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 CAMDEN LAKE PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018076",
            "telephone_number": "502-593-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT007772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acworth Pain Management Center Inc
• Acworth Pulmonary and Sleep LLC
• Acworth Smiles Dentistry, PC
• Acworth Spine & Disc, LLC.
• Acworth Treatment Center, LLC
• Christine Adams
• Christopher Barton Adams
• Kandice Ann Adams, RN
• Mark Adams
• Savannah Leigh Adams, PT, DPT

• All providers in Acworth, GA
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.