ADRIANNE KELLY MS, OTR/L
NPI 1134494651
Occupational Therapist in Port Jefferson Station, NY

Active since March 16, 2012Accepts Medicare Assignment
9 MERCER ST, PORT JEFFERSON STATION, NY 11776(631) 807-0695 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adrianne Kelly Ms, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADRIANNE KELLY MS, OTR/L (NPI 1134494651) is an individual occupational therapist in Port Jefferson Station, New York, licensed in New York (016062-1) and active in the NPI registry since March 2012. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1134494651
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameADRIANNE KELLYCredential: MS, OTR/L
Location Address9 MERCER STPort Jefferson Station, NY 11776-6106
Mailing Address20130 Rothbury LnMontgomery Village, MD 20886-1445
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 16, 2012
Last NPPES UpdateOctober 5, 2018
✔ NPI 1134494651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses✔ Licensed in NY · 016062-1✔ Licensed in NY · 016062
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
9 MERCER ST, Port Jefferson Station, NY 11776

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adrianne Kelly Ms, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406354158
PECOS Enrollment IDI20250812001325

Medicare Billing Reassignments

2

Medicare enrollment records show Adrianne Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
800 E GATE BLVD
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 711 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adrianne Kelly's NPI number?

The NPI number for Adrianne Kelly is 1134494651. It was assigned to this individual provider in the NPPES registry on March 16, 2012.

Where is Adrianne Kelly located?

Adrianne Kelly practices at 9 Mercer St, Port Jefferson Station, NY 11776. The listed phone number is (631) 807-0695.

What is Adrianne Kelly's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Adrianne Kelly enrolled in Medicare?

Yes. Adrianne Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Adrianne Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrianne Kelly reassigns Medicare benefits to 2 organizations: Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC (Garden City, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adrianne Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adrianne Kelly was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.