KRISTAL PETTENGILL OTR-L
NPI 1396305975
Occupational Therapist in Farmington, ME

Active since June 17, 2019
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938(207) 779-2620 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristal Pettengill Otr-l NPPES

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

KRISTAL PETTENGILL OTR-L (NPI 1396305975) is an individual occupational therapist in Farmington, Maine, licensed in Maine (OT2647) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1396305975
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKRISTAL PETTENGILLCredential: OTR-L
Location Address111 FRANKLIN HEALTH CMNSFarmington, ME 04938-6144
Mailing Address111 Franklin Health CmnsFarmington, ME 04938-6144 · (207) 779-2620
Sole ProprietorNo
Enumeration DateJune 17, 2019
✔ NPI 1396305975 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 ME · OT2647
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.
111 FRANKLIN HEALTH CMNS, Farmington, ME 04938

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristal Pettengill Otr-l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Kristal Pettengill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
Multi-Specialty
23 BOWDOIN ST
Manchester, ME 04351
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 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 20

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

Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Registered Nurse
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Occupational Therapist (Physical Rehabilitation)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Hospitalist
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Registered Nurse (Emergency)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938

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 Kristal Pettengill's NPI number?

The NPI number for Kristal Pettengill is 1396305975. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Kristal Pettengill located?

Kristal Pettengill practices at 111 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 779-2620.

What is Kristal Pettengill's specialty?

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

Is Kristal Pettengill enrolled in Medicare?

Yes. Kristal Pettengill is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristal Pettengill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Pettengill reassigns Medicare benefits to 3 organizations: Rumford Hospital (Rumford, ME), Central Maine Medical Center (Manchester, ME) and Bridgton Hospital (Bridgton, ME). 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 Kristal Pettengill'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 Kristal Pettengill was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.