Kelsey Rutherford, OTR/L
NPI 1275909616ActiveIndividual· Occupational Therapist· Broken Arrow, OK
Occupational Therapist (OTR/L) with Functional Pathways Preferred of Tennessee LLC, practicing in Broken Arrow, Oklahoma. Medicare paid $41,164 for services to 29 patients in 2024.
Overview
| NPI | 1275909616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Aug 20, 2015 |
| Last updated in NPPES | Aug 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 1977 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 1,959 across 8 procedure codes |
| Paid by Medicare | $41,164 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Functional Pathways Preferred of Tennessee LLCNorthbrook, IL · 196 clinicians
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