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

Kelly Ryan Fogarty, COTA

Individual provider Occupational Therapy Assistant · NPI 1518608082

Kelly Ryan Fogarty, COTA is an Occupational Therapy Assistant in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Specialties on file
3
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2125 W New Haven Ave
Melbourne, FL 32904-3803
Phone: (321) 729-4333
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA11513 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 11513 (FL)
Environmental Modification Occupational Therapy Assistant Taxonomy 224ZE0001X · Licence 11513 (FL)

Record details

NPI number1518608082
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Other providers in Melbourne