Individual provider Active NPI

Kelli Christina Anderson, OTR/L; CHT

  • Specialist
  • Westwood, NJ
National Provider Identifier
1992857775
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
46TR00093500 Issued in NJ
Practice address
99 Kinderkamack Rd
Suite 112
Westwood, NJ 07675-3012
Phone
(201) 497-6211
Fax
(201) 497-6212
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 46TR00093500 NJ Primary

Addresses

Primary practice location

99 Kinderkamack Rd
Suite 112
Westwood, NJ 07675-3012

Mailing address

99 Kinderkamack Rd
Suite 112
Westwood, NJ 07675-3012
Phone (201) 497-6211

Other names 1

  • Miss Kelli Christina Skeels Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000207 NJ Practitioner - Occupational Therapist in Private Practice 1658386495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Hand Therapy, LLCGroup PAC ID 3375638109, 2 clinicians
Breast Rehabilitation and Healing CenterGroup PAC ID 3678755980, 2 clinicians

Practice addresses (Care Compare)

99 Kinderkamack Rd
Suite 204
Westwood, NJ 07675-3020
Phone (201) 497-6211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00093500NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Fit CurrentSince Mar 4, 2021 Accepting new patients
Progressive Hand Therapy, LLC CurrentSince Apr 1, 2007 Accepting new patients
Breast Rehabilitation & Healing Center CurrentSince Feb 26, 2010 Accepting new patients

Locations

99 Kinderkamack Rd
Ste 211
Westwood, NJ 07675
Phone (201) 497-6175

99 Kinderkamack Rd
Ste 112
Westwood, NJ 07675
Phone (201) 497-6211

99 Kinderkamack Rd
Ste 204
Westwood, NJ 07675
Phone (201) 497-6175

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1992857775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD",
            "address_2": "SUITE 112",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-497-6211",
            "fax_number": "201-497-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD",
            "address_2": "SUITE 112",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-497-6211",
            "fax_number": "201-497-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELLI",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L; CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46TR00093500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "SKEELS",
            "middle_name": "CHRISTINA",
            "prefix": "MISS",
            "credential": "OTR/L; CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.