Mrs Mary Jo Kelly, OTR/L in Gate City, VA - Occupational Therapist

Mrs Mary Jo Kelly, OTR/L is a Occupational Therapist based in Gate City, Virginia. Mrs Mary Jo Kelly is licensed to practice in Virginia (license number 0119007492) and her current practice location is 1191 Bellamy Tipton Rd, Gate City, Virginia. She can be reached at her office (for appointments etc.) via phone at (239) 292-7489.

NPI number for Mrs Mary Jo Kelly is 1578068185 and her current mailing address is 1191 Bellamy Tipton Rd, Gate City, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578068185.

Contact Information

	Mrs Mary Jo Kelly, OTR/L
	1191 Bellamy Tipton Rd, Gate City, VA 24251-5046
	(239) 292-7489
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Mary Jo Kelly
Gender	Female
Speciality	Occupational Therapist
Location	1191 Bellamy Tipton Rd, Gate City, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1578068185
Provider Enumeration Date: 03/26/2018
Last Update Date: 05/22/2023

Medical Identifiers

Medical identifiers for Mrs Mary Jo Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578068185	NPI	-	NPPES
0119007492	Other	VA	STATE OT LICENSE
134421797	Other	TN	DRIVERS LICENSE
OT0000004939	Other	TN	STATE LICENSE OT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5809 (Florida)	Secondary
225XP0019X	Occupational Therapist - Physical Rehabilitation	OT0000004939 (Tennessee)	Secondary
225X00000X	Occupational Therapist	OT0000004939 (Tennessee)	Secondary
225X00000X	Occupational Therapist	0119007492 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Jo Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Mary Jo Kelly, OTR/L 1191 Bellamy Tipton Rd, Gate City, VA 24251-5046 Ph: (239) 292-7489	Mrs Mary Jo Kelly, OTR/L 1191 Bellamy Tipton Rd, Gate City, VA 24251-5046 Ph: (239) 292-7489

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Occupational Therapist in Gate City, VA

Ms. Mckensie Graceann Mcgee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 E Jackson St, Gate City, VA 24251 Phone: 276-386-6118
Mrs. Jennifer Lynn Wallace, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 E Jackson St, Gate City, VA 24251 Phone: 276-386-6118
Jenna L Compton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 389 Kane Street, Gate City, VA 24251 Phone: 276-386-2424 Fax: 276-386-2349
Karen Short, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 389 Kane Street, Gate City, VA 24251 Phone: 276-386-2424 Fax: 276-386-2349

Mrs Mary Jo Kelly, OTR/L - Occupational Therapist in Gate City, VA