Kelly J. Soyring, OTR
NPI 1033455183ActiveIndividual· Occupational Therapist· Detroit Lakes, MN
Occupational Therapist (OTR) with White Earth Indian Health Center, practicing in Detroit Lakes, Minnesota. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1033455183 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Dec 18, 2012 |
| Last updated in NPPES | May 4, 2020 |
| Certified by provider | May 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 104154 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (TX) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- White Earth Indian Health CenterOgema, MN · 35 clinicians
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All 29 occupational therapists in Detroit Lakes · All occupational therapists in Minnesota