MRS. KELLYN COLCLOUGH ROBERTSON OTR/L
NPI 1316654882
Occupational Therapist in Augusta, GA

Active since November 03, 2022Accepts Medicare Assignment
326 BOY SCOUT RD, AUGUSTA, GA 30909(706) 738-6003 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2024, Nov 3, 2022 (2 updates tracked since 2022).

About Mrs. Kellyn Colclough Robertson Otr/l NPPES

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

MRS. KELLYN COLCLOUGH ROBERTSON OTR/L (NPI 1316654882) is an individual occupational therapist in Augusta, Georgia, licensed in South Carolina (5044) and active in the NPI registry since November 2022. She maintains a secondary practice location in North Augusta and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316654882
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. KELLYN COLCLOUGH ROBERTSONCredential: OTR/L
Location Address326 BOY SCOUT RDAugusta, GA 30909-2006
Mailing Address334 Sumac TrlEvans, GA 30809-0789 · (803) 840-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 3, 2022
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1316654882 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
License✔ Licensed in SC · 5044
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.
326 BOY SCOUT RD, Augusta, GA 30909

Secondary Practice Location 1

Location 1105 N Hills DrNorth Augusta, SC 29841-0112 · Phone (803) 819-0034

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

Mrs. Kellyn Colclough Robertson 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 ID4789120189
PECOS Enrollment IDI20240722002893

Medicare Billing Reassignment

Medicare enrollment records show Kellyn Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
303 N HURSTBOURNE PKWY STE 200
Louisville, KY 40222
  • Reassigned Medicare billing, South Carolina enrollment
  • 52 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
326 BOY SCOUT RD
AUGUSTA, GA 30909
Assisted Living Facility
326 BOY SCOUT RD
AUGUSTA, GA 30909

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 Kellyn Robertson's NPI number?

The NPI number for Kellyn Robertson is 1316654882. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Where is Kellyn Robertson located?

Kellyn Robertson practices at 326 Boy Scout Rd, Augusta, GA 30909. The listed phone number is (706) 738-6003.

What is Kellyn Robertson's specialty?

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

Is Kellyn Robertson enrolled in Medicare?

Yes. Kellyn Robertson 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 organization bills Medicare for Kellyn Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellyn Robertson reassigns Medicare benefits to Paragon Outpatient Rehabilitation Services, LLC (Louisville, KY). 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 Kellyn Robertson'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 Kellyn Robertson was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.