KELLY TRAUTMAN (OTR, MOT) – Hand Occupational Therapist, NPI 1730623661
Hand Occupational Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KELLY TRAUTMAN (OTR, MOT)
5411, Saint Mark Avenue, Newark, Alameda County, California, 94560, United States
NEWARK, CA 945603220
Phone: (303) 895-0591
Type: Mailing
Farwell Medical, 39180, Farwell Drive, Mowry East Shopping Center, Fremont, Alameda County, California, 94560, United States
SUITE 211
FREMONT, CA 945381000
Phone: (510) 857-1000
Type: Location
405 RANCHO ARROYO PKWY APT 170
FREMONT, CA 945362732
Phone: (303) 895-0591
Type: Mailing
3701 BROADWAY
OAKLAND, CA 946115613
Phone: (510) 752-6179
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170116000215 | I | Occupational Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94560)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Hand Surgery | CA | |
| Occupational Therapist In Private Practice | CA | |
| - | CA | |
| Occupational Therapist In Private Practice | CA |
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