Kelly Brogdon White, MS, OTR/L
NPI 1639064025ActiveIndividual· Occupational Therapist· Johns Creek, GA
Occupational Therapist (MS, OTR/L) in Johns Creek, Georgia, trained at Tufts University School of Medicine (class of 2001). Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1639064025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, OTR/L |
| Sole proprietor | No |
| NPI issued | Jun 9, 2025 |
| Last updated in NPPES | Jun 10, 2025 |
| Certified by provider | Jun 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT003451 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (GA) |
|---|
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Body-N-BalanceJohns Creek, GA · 4 clinicians
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