KAELYN BROELL OTD
NPI 1467199331
Occupational Therapist in Mount Washington, KY

Active since May 12, 2022
520 WOODLAKE DR, MOUNT WASHINGTON, KY 40047(502) 538-3172 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1467199331
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKAELYN BROELLCredential: OTD
Location Address520 WOODLAKE DRMount Washington, KY 40047-5123
Mailing Address131 N Howard StBardstown, KY 40004-8115
Sole ProprietorYes
Enumeration DateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1467199331 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 KY · 277298
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.
520 WOODLAKE DR, Mount Washington, KY 40047

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.

Physical Therapist
4600 BOWLING BLVD
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.

Physical Therapist
520 WOODLAKE DR
MT WASHINGTON, KY 40047
Physical Therapist
520 WOODLAKE DR
MOUNT WASHINGTON, KY 40047

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.