MS. KELLY A BAGDASSIAN
NPI 1891061719
Occupational Therapist in Racine, WI
About Ms. Kelly A Bagdassian NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY A BAGDASSIAN (NPI 1891061719) is an individual occupational therapist in Racine, Wisconsin, licensed in Illinois (056.006671) and active in the NPI registry since March 2012. She is a graduate of Other (2000).
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)
Ms. Kelly A Bagdassian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Bagdassian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53202
- Reassigned Medicare billing, Wisconsin enrollment
- 7 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.
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 Bagdassian's NPI number?
The NPI number for Kelly Bagdassian is 1891061719. It was assigned to this individual provider in the NPPES registry on March 25, 2012.
Where is Kelly Bagdassian located?
Kelly Bagdassian practices at 1302 Melvin Ave, Racine, WI 53402. The listed phone number is (262) 412-8320.
What is Kelly Bagdassian's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kelly Bagdassian enrolled in Medicare?
Yes. Kelly Bagdassian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Bagdassian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bagdassian reassigns Medicare benefits to Jh Therapy Services (Milwaukee, WI). 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 Bagdassian'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 Bagdassian was last updated on March 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.