Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

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
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Practice location Address checks out

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients223
Services billed 2,890 a service is one billed item, such as a visit, a test or a procedure
Average patient age82

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Odom Sports Medicine PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 69 clinicians in the practice; 12 are shown here.