KELLY M KELLER (NPI# 1336106699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336106699 |
| Entity Type | Individual |
| Full Name | KELLY M KELLER |
| Credential | OTR |
| Practice Address |
1131 Baltimore Pike Bel Air MD 21014-5132 |
| Mailing Address |
807a S Union Ave Havre De Grace MD 21078-3610 |
| Practice Telephone | 4108386070 |
| Practice Fax Number | 4108386961 |
| Mailing Telephone | 4109392262 |
| Mailing Fax Number | 4109397119 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 02411 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 807a S Union Ave, Havre De Grace, MD 210783610 | 4109392262 | 4109397119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307381 | Kelly A Keller | Nurse Practitioner | 420 Whitehall Rd Apt B, Alameda, CA 94501-6135 | 2005-06-21 |
| 1487112918 | Kelly Renee Keller | Registered Nurse | 411 S Court St, Marion, IL 62959-2711 | 2019-03-04 |
| 1588112643 | Kelly Keller | Counselor | 6333 Odana Rd Ste 20, Madison, WI 53719-1130 | 2016-09-19 |
| 1568917532 | Kelly C. Keller | Nurse Practitioner | 460 W 10th Ave, Columbus, OH 43210-1240 | 2016-08-19 |
| 1215275268 | Kelly Keller | Physical Therapist | 29 N Academy St, Greenville, SC 29601-2629 | 2013-01-26 |
| 1104172733 | Kelly Keller | Counselor | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2012-08-01 |
| 1093916744 | Kelly Rene Keller | Physician Assistant | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2007-05-30 |
| Street Address |
1131 BALTIMORE PIKE |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-5132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073579744 | Raymond Wesley Cooper Jr. | Occupational Therapist | 1131 Baltimore Pike, Bel Air, MD 21014-5132 | 2006-04-21 |
| 1023665056 | Ian Edwards | Physical Therapist | 1131 Baltimore Pike, Bel Air, MD 21014-5132 | 2019-08-23 |
| 1245750264 | Brittany Lee Freels | Physical Therapist | 1131 Baltimore Pike, Bel Air, MD 21014-5132 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757671 | Darlene Marie Miller | Occupational Therapist | 715 Foot Hill Rd, Bel Air, MD 21014-5352 | 2019-02-28 |
| 1679045280 | Kelly Fischer | Occupational Therapist | 1201 Brighton Ln, Bel Air, MD 21014-3308 | 2018-12-20 |
| 1265901953 | Patricia Annette Ritter | Occupational Therapist | 101 Prospect Mill Rd, Bel Air, MD 21015-1513 | 2018-11-26 |
| 1154785608 | Lindsay Burke | Occupational Therapist | 138 Industry Lane, Unit 5a, Pediatric Mobility, LLC, Bel Air, MD 21050 | 2016-04-11 |
| 1487012308 | Sarah Schneider | Occupational Therapist | 2314 Chantaway Ct, Bel Air, MD 21015-6193 | 2016-02-05 |
| 1881088151 | Lisa Massucci | Occupational Therapist | 602 N Shamrock Rd, Bel Air, MD 21014-3350 | 2015-03-25 |
| 1063755544 | Kayla Michelle Lurz | Occupational Therapist | 100 Thomas Run Rd, Bel Air, MD 21015-1616 | 2013-04-03 |
| 1144577107 | Kristen Elizabeth Meinecke | Occupational Therapist | 620 W Macphail Rd Ste 105, Bel Air, MD 21014-4474 | 2012-08-09 |
| 1447373808 | Kimberly N Anderson | Occupational Therapist | 413 Prindle Ct, Bel Air, MD 21015-4829 | 2007-04-09 |
| 1952318677 | Joseph H Gwiazda | Occupational Therapist | 324 Honey Locust Court, Bel Air, MD 21015 | 2006-08-02 |
| Find all providers in BEL AIR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.