Provider Demographics
NPI:1912044702
Name:BELINSKY, KELLY (MS,OTRL)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:
Last Name:BELINSKY
Suffix:
Gender:F
Credentials:MS,OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 STRASSER AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2030
Mailing Address - Country:US
Mailing Address - Phone:781-461-2414
Mailing Address - Fax:
Practice Address - Street 1:1330 BEACON ST
Practice Address - Street 2:SUITE 221
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3282
Practice Address - Country:US
Practice Address - Phone:617-277-1550
Practice Address - Fax:781-329-2805
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2537225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA41151OtherHARVARD PILGRIM HEALTH CA
MAOT0059OtherBLUE CROSS BLUE SHIELD
MA666828OtherTUFTS HEALTH PLAN
MAY68016Medicare ID - Type Unspecified