KELLY PRUETT (OTRL) – Occupational Therapist, NPI 1467662825

KELLY PRUETT (OTRL) is a healthcare provider. based in Massillon, Ohio. specializing in Occupational Therapist. They hold the professional credentials OTRL. They hold a License No. OT002478 (OH). The NPI Number for KELLY PRUETT (OTRL) is 1467662825

Main info

Female
Sole Proprietor
Name
KELLY PRUETT (OTRL)
NPI
1467662825
Phone
(330) 477-2968
Address
4167 GEORGIA ST NW
Enumeration Date
23 May 2007
Last Update Date
27 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for KELLY PRUETT (OTRL)

  • 4167 GEORGIA ST NW

    MASSILLON, OH 446463266

    Phone: (330) 477-2968

    Type: Mailing

  • 6200, Whipple Avenue Northwest, North Canton, Jackson Township, Stark County, Ohio, 44720, United States

    NORTH CANTON, OH 447207624

    Phone: (330) 966-8614

    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.

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Medicare Enrollment & Revalidation

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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 44646)

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Reviews

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Frequently asked questions

What unique ID ties claims to KELLY PRUETT (OTRL)?
NPI 1467662825 is assigned to KELLY PRUETT (OTRL) under the national enumeration system.
Is KELLY PRUETT (OTRL)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELLY PRUETT (OTRL) work in?
You can think of KELLY PRUETT (OTRL) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is KELLY PRUETT (OTRL)'s primary listing?
We display Massillon, Ohio because that is what the record indicates for KELLY PRUETT (OTRL).
What if Massillon, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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