Kelsey C. Gunderson
NPI 1720660970ActiveIndividual· Occupational Therapist· South Range, WI
Occupational Therapist in South Range, Wisconsin, licensed in MN, with an NPI issued in April 2021. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1720660970 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 27, 2021 |
| Last updated in NPPES | Jan 5, 2026 |
| Certified by provider | Jan 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 106549 | MN |
| Occupational Therapist, Gerontology | 225XG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (WI) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Other Occupational Therapist providers in South Range
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