KELLY RENEE CAMPBELL (OT) – Occupational Therapist, NPI 1639464894

KELLY RENEE CAMPBELL (OT) is a healthcare provider. based in Portage, Michigan. specializing in Occupational Therapist. They hold the professional credentials OT. They hold a License No. 5201007870 (MI). The NPI Number for KELLY RENEE CAMPBELL (OT) is 1639464894

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KELLY RENEE CAMPBELL (OT)
NPI
1639464894
Phone
(269) 372-7200
Address
7901 S 12TH ST
Enumeration Date
16 June 2011
Last Update Date
16 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699795550
Graduation Year
2010 (16 years ago)
PAC ID
4486825171
Group Practice PAC ID
9133126295
Professional Enrollment ID
I20110929000664
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for KELLY RENEE CAMPBELL (OT)

  • 7901 S 12TH ST

    SUITE #200

    PORTAGE, MI 490243831

    Phone: (269) 372-7200

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 49024)

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Provider's Procedures

KELLY RENEE CAMPBELL (OT) performs procedures in Occupational Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes12331

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: 9133126295View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KELLY RENEE CAMPBELL (OT) in U.S. healthcare records?
The official identifier for KELLY RENEE CAMPBELL (OT) is NPI 1639464894.
Is KELLY RENEE CAMPBELL (OT) still an active registrant?
KELLY RENEE CAMPBELL (OT) carries an active NPI according to the public dataset.
How would a patient describe KELLY RENEE CAMPBELL (OT)'s focus?
For KELLY RENEE CAMPBELL (OT), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is KELLY RENEE CAMPBELL (OT) associated with Portage?
Public fields place KELLY RENEE CAMPBELL (OT) around Portage, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for KELLY RENEE CAMPBELL (OT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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