CHELSIE KELLY (OTR/L) – Occupational Therapist, NPI 1215640685

CHELSIE KELLY (OTR/L) is a healthcare provider. based in Volo, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. The NPI Number for CHELSIE KELLY (OTR/L) is 1215640685

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CHELSIE KELLY (OTR/L)
NPI
1215640685
Phone
Not provided
Address
992 GALENA DR
Enumeration Date
2 January 2023
Last Update Date
2 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739178609
Graduation Year
2014 (12 years ago)
PAC ID
0446617450
Group Practice PAC ID
8921230137
Professional Enrollment ID
I20230607001064
Address ID
IL606221884CH2155XAVEX400

Contacts

Secure Messaging
therapy.director@thrivelakeco.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness85
Years active:3State licenses:0Other namesUpdated within 12 months

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for CHELSIE KELLY (OTR/L)

  • 992 GALENA DR

    VOLO, IL 600738186

    Phone:

    Type: Mailing

  • 850 E US HIGHWAY 45

    MUNDELEIN, IL 600604612

    Phone: (847) 377-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230607001064IOccupational Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921230137View full group profile
NameSpecialtyState
-IL
-IL
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
-VA
-IL
Qualified Speech Language PathologistIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How is CHELSIE KELLY (OTR/L) identified in CMS data?
CMS-hosted NPPES data lists CHELSIE KELLY (OTR/L) with NPI 1215640685.
Is CHELSIE KELLY (OTR/L) listed as active for patients and plans?
The listing shows CHELSIE KELLY (OTR/L) as active in the NPI system.
What healthcare role does CHELSIE KELLY (OTR/L) hold?
Scheduling teams often label CHELSIE KELLY (OTR/L) under Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does CHELSIE KELLY (OTR/L) list a practice location?
Patients near Volo, Illinois may find CHELSIE KELLY (OTR/L) in results; validate coverage separately.
Is the information about CHELSIE KELLY (OTR/L) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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