KELLYE ANN WENTWORTH OT/L
NPI 1144530122
Occupational Therapist in Pittsfield, ME
About Kellye Ann Wentworth Ot/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLYE ANN WENTWORTH OT/L (NPI 1144530122) is an individual occupational therapist in Pittsfield, Maine, licensed in Maine (TO2446) and active in the NPI registry since October 2010.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellye Ann Wentworth Ot/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kellye Wentworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth, ME 04969
- Reassigned Medicare billing, Maine enrollment
- 3 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 Kellye Wentworth's NPI number?
The NPI number for Kellye Wentworth is 1144530122. It was assigned to this individual provider in the NPPES registry on October 8, 2010.
Where is Kellye Wentworth located?
Kellye Wentworth practices at 141 Leighton St, Pittsfield, ME 04967. The listed phone number is (207) 487-9293.
What is Kellye Wentworth's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kellye Wentworth enrolled in Medicare?
Yes. Kellye Wentworth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kellye Wentworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellye Wentworth reassigns Medicare benefits to Function First Therapy LLC (Plymouth, ME). The 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 Kellye Wentworth'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 Kellye Wentworth was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.