KELLIE C. PONDER
NPI 1386997476
Occupational Therapist in Merritt Island, FL

Active since October 26, 2012
220 N GROVE ST, MERRITT ISLAND, FL 32953(814) 227-3590 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kellie C. Ponder NPPES

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

KELLIE C. PONDER (NPI 1386997476) is an individual occupational therapist in Merritt Island, Florida, licensed in Florida (OT16047) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1386997476
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLIE C. PONDER
Location Address220 N GROVE STMerritt Island, FL 32953-3444
Mailing Address220 N Grove StMerritt Island, FL 32953-3444
Sole ProprietorNo
Enumeration DateOctober 26, 2012
Last NPPES UpdateJune 8, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1386997476 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 FL · OT16047
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.
220 N GROVE ST, Merritt Island, FL 32953

Other Names 1

Former Name (1)Kellie Staab

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie C. Ponder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Physical Therapist
980 SYLVAN AVE
Englewood Cliffs, NJ 07632
  • Reassigned Medicare billing, Florida enrollment
  • 87 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 6

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

Assisted Living Facility
220 N GROVE ST
MERRITT ISLAND, FL 32953
Occupational Therapy Assistant
220 N GROVE ST
MERRITT ISLAND, FL 32953
Assisted Living Facility
220 N GROVE ST
MERRITT ISLAND, FL 32953
Assisted Living Facility
220 N GROVE ST
MERRITT ISLAND, FL 32953
Physical Therapist
220 N GROVE ST
MERRITT ISLAND, FL 32953
Assisted Living Facility
220 N GROVE ST
MERRITT ISLAND, FL 32953

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 Kellie Ponder's NPI number?

The NPI number for Kellie Ponder is 1386997476. It was assigned to this individual provider in the NPPES registry on October 26, 2012. The provider is also known as Kellie Staab.

Where is Kellie Ponder located?

Kellie Ponder practices at 220 N Grove St, Merritt Island, FL 32953. The listed phone number is (814) 227-3590.

What is Kellie Ponder's specialty?

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

Is Kellie Ponder enrolled in Medicare?

Yes. Kellie Ponder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Ponder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Ponder reassigns Medicare benefits to Ap Therapy LLC (Englewood Cliffs, NJ). 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 Kellie Ponder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Ponder accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Kellie Ponder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Ponder was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.