KAELYN BROELL OTD
NPI 1467199331
Occupational Therapist in Mount Washington, KY
About Kaelyn Broell Otd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAELYN BROELL OTD (NPI 1467199331) is an individual occupational therapist in Mount Washington, Kentucky, licensed in Kentucky (277298) and active in the NPI registry since May 2022.
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)
Kaelyn Broell Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaelyn Broell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 50 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.
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 Kaelyn Broell's NPI number?
The NPI number for Kaelyn Broell is 1467199331. It was assigned to this individual provider in the NPPES registry on May 12, 2022.
Where is Kaelyn Broell located?
Kaelyn Broell practices at 520 Woodlake Dr, Mount Washington, KY 40047. The listed phone number is (502) 538-3172.
What is Kaelyn Broell's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kaelyn Broell enrolled in Medicare?
Yes. Kaelyn Broell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaelyn Broell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaelyn Broell reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, 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 Kaelyn Broell'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 Kaelyn Broell was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.