IndividualActive
Kelly Eisenhauer, OTR/L
NPI 1639728645 · Occupational Therapist · Fernandina, FL
Provider details
- NPI number
- 1639728645
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 18354 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1885 S 14th St
Fernandina, FL 32034-3033
Phone: (904) 204-3430
Street-level locationGet directions
Mailing address
3901 University Blvd S
Jacksonville, FL 32216-4312
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2019-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.