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

Kelsey Eidam, OTR/L

Individual provider Occupational Therapist · NPI 1124748421

Kelsey Eidam, OTR/L is an Occupational Therapist in Fairfield, Connecticut. Licensed in Connecticut. Registered with an NPI since 2022.

Licensed in
CT
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone: (203) 384-8681
Fax: (203) 384-0722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 004675 (CT)

Record details

NPI number1124748421
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address1931 Black Rock Tpke, Fairfield, CT 06825-3506

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