Kelly Anderson, OT
Individual provider Active NPI Occupational Therapist · Cleveland, OH
NPI 1992756266 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1992756266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT05087 (OH)
- Practice address
- 4100 Warrensville Center Rd
Ste 102
Cleveland, OH 44122-7024 - Phone
- (216) 561-0101
- Fax
- (216) 561-8915
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT05087 | OH | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT05087 | OH | Yes |
Addresses
Primary practice location
4100 Warrensville Center Rd
Ste 102
Cleveland, OH 44122-7024
Mailing address
23825 Commerce Park
Ste B
Beachwood, OH 44122-5837
Phone (216) 292-6363
Other providers in Cleveland, OH
- Jonathan David Anderson
- Joyce Anderson
- Julia Anderson
- Katherine Anderson
- Katherine E Anderson
- Kelvin Anderson
- Keshawna Anderson
- Laura Marie Anderson
- Lauren Anderson
- Linda Joyce Anderson
All providers in Cleveland, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.