KELLY SUE CHAN MA, OTR/L
NPI 1336094713
Occupational Therapist in Farmington, MN

Active since March 02, 2026PECOS Enrolled
421 WALNUT ST, FARMINGTON, MN 55024(612) 252-2980(651) 460-3830 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Sue Chan Ma, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SUE CHAN MA, OTR/L (NPI 1336094713) is an individual occupational therapist in Farmington, Minnesota and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336094713
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLY SUE CHANCredential: MA, OTR/L
Location Address421 WALNUT STFarmington, MN 55024-1344
Mailing Address421 Walnut StFarmington, MN 55024-1344 · (612) 252-2980 · Fax (651) 460-3830
Fax(651) 460-3830
Sole ProprietorNo
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
NPI 1336094713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
421 WALNUT ST, Farmington, MN 55024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Sue Chan Ma, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
421 WALNUT ST
FARMINGTON, MN 55024
Speech-Language Pathologist
421 WALNUT ST
FARMINGTON, MN 55024
Occupational Therapist
421 WALNUT ST
FARMINGTON, MN 55024
Speech-Language Pathologist
421 WALNUT ST
FARMINGTON, MN 55024
Speech-Language Pathologist
421 WALNUT ST
FARMINGTON, MN 55024
Speech-Language Pathologist
421 WALNUT ST
FARMINGTON, MN 55024
Speech-Language Pathologist
421 WALNUT ST
FARMINGTON, MN 55024
Occupational Therapist
421 WALNUT ST
FARMINGTON, MN 55024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Chan's NPI number?

The NPI number for Kelly Chan is 1336094713. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Kelly Chan located?

Kelly Chan practices at 421 Walnut St, Farmington, MN 55024. The listed phone number is (612) 252-2980.

What is Kelly Chan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kelly Chan enrolled in Medicare?

Yes. Kelly Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Chan was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.