Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carrie Kelley

Individual provider Rehabilitation Practitioner · NPI 1336396365

Carrie Kelley is a Qualified Speech Language Pathologist in Minnetonka, Minnesota. Qualified in 2007, 19 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
19
In the registry since
2008

Practice location Address checks out

10653 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1543
Phone: (952) 224-1919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 672-6000

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1336396365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2008
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address2450 Riverside Ave, Minneapolis, MN 55454-1450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount