Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY BRETAGNE DPT
NPI 1508773581
Physical Therapist in Randolph, MA

Active since August 26, 2026
26 S MAIN ST, RANDOLPH, MA 02368(781) 961-9200 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Bretagne Dpt NPPES

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

KELLY BRETAGNE DPT (NPI 1508773581) is an individual physical therapist in Randolph, Massachusetts, licensed in Massachusetts (PTL88692) and active in the NPI registry since August 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1508773581
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY BRETAGNECredential: DPT
Location Address26 S MAIN STRandolph, MA 02368-4821
Mailing Address703 Granite St Ste 3Braintree, MA 02184-5350 · (781) 961-3370
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1508773581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MA · PTL88692
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
26 S MAIN ST, Randolph, MA 02368

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Bretagne Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769942242
PECOS Enrollment IDI20260903002540

Medicare Billing Reassignment

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

Physical Therapist
362 BELMONT ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 703 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 11

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

Physical Therapist
26 S MAIN ST
RANDOLPH, MA 02368
Physical Therapist
26 S MAIN ST
RANDOLPH, MA 02368
Physical Therapist
26 S MAIN ST
RANDOLPH, MA 02368
Physical Therapist
26 S MAIN ST
RANDOLPH, MA 02368
Physical Therapist
26 S MAIN ST
RANDOLPH, MA 02368
Physical Therapist
26 S MAIN ST
RANDOLPH, MA 02368
Physical Therapist
26 S MAIN ST
RANDOLPH, MA 02368
Occupational Therapist
26 S MAIN ST
RANDOLPH, MA 02368

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 Kelly Bretagne's NPI number?

The NPI number for Kelly Bretagne is 1508773581. It was assigned to this individual provider in the NPPES registry on August 26, 2026.

Where is Kelly Bretagne located?

Kelly Bretagne practices at 26 S Main St, Randolph, MA 02368. The listed phone number is (781) 961-9200.

What is Kelly Bretagne's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Bretagne enrolled in Medicare?

Yes. Kelly Bretagne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Bretagne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bretagne reassigns Medicare benefits to Bay State Physical Therapy Of Randolph Inc (Brockton, MA). 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 Kelly Bretagne'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 Kelly Bretagne was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.