Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY ELLIS OTR
NPI 1366849374
Occupational Therapist in Flint, MI

Active since November 20, 2014
1057 E COLDWATER RD, FLINT, MI 48505(810) 257-3705 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelsey Ellis Otr NPPES

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

KELSEY ELLIS OTR (NPI 1366849374) is an individual occupational therapist in Flint, Michigan, licensed in Michigan (5201008965) and active in the NPI registry since November 2014. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1366849374
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELSEY ELLISCredential: OTR
Location Address1057 E COLDWATER RDFlint, MI 48505-1501
Mailing Address725 Mason StFlint, MI 48503-2421
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 20, 2014
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1366849374 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
License✔ Licensed in MI · 5201008965
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.
1057 E COLDWATER RD, Flint, MI 48505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Ellis Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618290701
PECOS Enrollment IDI20141222000795

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
725 MASON ST
Flint, MI 48503
  • Reassigned Medicare billing, Michigan enrollment
  • 70 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Behavior Analyst
1057 E COLDWATER RD
FLINT, MI 48505
Counselor
1057 E COLDWATER RD
FLINT, MI 48505
Registered Nurse
1057 E COLDWATER RD
FLINT, MI 48505
Occupational Therapist
1057 E COLDWATER RD
FLINT, MI 48505
Social Worker (Clinical)
1057 E COLDWATER RD
FLINT, MI 48505
Social Worker
1057 E COLDWATER RD
FLINT, MI 48505
Case Manager/Care Coordinator
1057 E COLDWATER RD
FLINT, MI 48505
Registered Nurse (Community Health)
1057 E COLDWATER RD
FLINT, MI 48505

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 Kelsey Ellis's NPI number?

The NPI number for Kelsey Ellis is 1366849374. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Where is Kelsey Ellis located?

Kelsey Ellis practices at 1057 E Coldwater Rd, Flint, MI 48505. The listed phone number is (810) 257-3705.

What is Kelsey Ellis's specialty?

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

Is Kelsey Ellis enrolled in Medicare?

Yes. Kelsey Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelsey Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Ellis reassigns Medicare benefits to Genesee Health System (Flint, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Ellis was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.