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Kelly Jo Gag

NPI 1710842687ActiveIndividual· Occupational Therapist· Detroit Lakes, MN

Occupational Therapist in Detroit Lakes, Minnesota, licensed in MN, with an NPI issued in December 2025.

Overview

NPI1710842687
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedDec 22, 2025
Last updated in NPPESDec 22, 2025
Certified by providerDec 22, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X102918MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other occupational therapists in Detroit Lakes

All 29 occupational therapists in Detroit Lakes · All occupational therapists in Minnesota