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

Theresa Kelly

Individual provider Occupational Therapy Assistant · NPI 1356083778

Theresa Kelly is an Occupational Therapy Assistant in Blauvelt, New York. Licensed in Connecticut, New Jersey and New York. Registered with an NPI since 2022.

Licensed in
CT, NJ, NY
In the registry since
2022
Specialties on file
3

Practice location Address checks out

117 Derfuss Ln
Blauvelt, NY 10913-1609
Phone: (845) 570-0771
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 46TA09225300 (NJ)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 010932 (NY)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 2162 (CT)

Record details

NPI number1356083778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

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