KELLY TRAUTMAN OTR, MOT
NPI 1730623661
Occupational Therapist - Hand in Oakland, CA
About Kelly Trautman Otr, Mot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY TRAUTMAN OTR, MOT (NPI 1730623661) is an individual hand provider in Oakland, California and active in the NPI registry since December 2016.
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)
Kelly Trautman Otr, Mot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Trautman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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 Trautman's NPI number?
The NPI number for Kelly Trautman is 1730623661. It was assigned to this individual provider in the NPPES registry on December 12, 2016.
Where is Kelly Trautman located?
Kelly Trautman practices at 3701 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-6179.
What is Kelly Trautman's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.
Is Kelly Trautman enrolled in Medicare?
Yes. Kelly Trautman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Trautman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Trautman reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). 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 Trautman'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 Trautman was last updated on December 29, 2021. 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.
# Kelly Trautman, OTR, MOT · NPI 1730623661
Hand provider in Oakland, California. Individual provider, active in the CMS NPPES registry since December 12, 2016.
## Identity
- **NPI:** 1730623661 (Entity type: Individual)
- **Enumerated:** December 12, 2016
- **Primary specialty:** Occupational Therapist - Hand · taxonomy 225XH1200X
- **Sole proprietor:** No
## Practice location
- **Address:** 3701 BROADWAY, Oakland, CA 94611-5613
- **Phone:** (510) 752-6179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730623661) · Data from the CMS NPPES public registry.