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

KELLY RENE BOUSSON MS,OTR
NPI 1902002298
Occupational Therapist in Manistee, MI

Active since June 22, 2007
772 E PARKDALE AVE, MANISTEE, MI 49660(231) 233-3272 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Oct 9, 2026 (2 updates tracked since 2026).

About Kelly Rene Bousson Ms,otr NPPES

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

KELLY RENE BOUSSON MS,OTR (NPI 1902002298) is an individual occupational therapist in Manistee, Michigan, licensed in Michigan (5201006679) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1902002298
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLY RENE BOUSSONCredential: MS,OTR
Location Address772 E PARKDALE AVEManistee, MI 49660-9110
Mailing Address772 E Parkdale AveManistee, MI 49660-9110 · (231) 723-6205
Sole ProprietorNo
Enumeration DateJune 22, 2007
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1902002298 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 · 5201006679
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.
772 E PARKDALE AVE, Manistee, MI 49660

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
772 E PARKDALE AVE
MANISTEE, MI 49660
Speech-Language Pathologist
772 E PARKDALE AVE
MANISTEE, MI 49660
Social Worker (School)
772 E PARKDALE AVE
MANISTEE, MI 49660
Speech-Language Pathologist
772 E PARKDALE AVE
MANISTEE, MI 49660

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 Bousson's NPI number?

The NPI number for Kelly Bousson is 1902002298. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Kelly Bousson located?

Kelly Bousson practices at 772 E Parkdale Ave, Manistee, MI 49660. The listed phone number is (231) 233-3272.

What is Kelly Bousson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Bousson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.