MRS. KELLY JEAN ANETRELLLA (P.T.) – Physical Therapist, NPI 1255367520

MRS. KELLY JEAN ANETRELLLA (P.T.) is a healthcare provider. based in Meriden, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 006419 (CT). The NPI Number for MRS. KELLY JEAN ANETRELLLA (P.T.) is 1255367520

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY JEAN ANETRELLLA (P.T.)
NPI
1255367520
Phone
(203) 440-9880
Address
241 BROAD ST
Enumeration Date
25 June 2006
Last Update Date
10 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034409880
Graduation Year
1998 (28 years ago)
PAC ID
8123127354
Professional Enrollment ID
I20070628000279
Address ID
CT064505877ME241XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for MRS. KELLY JEAN ANETRELLLA (P.T.)

  • 241, Broad Street, Miller Memorial Community, Meriden, New Haven County, Connecticut, 06450, United States

    MERIDEN, CT 064505877

    Phone: (203) 440-9880

    Fax: (203) 440-9881

    Mailing address matches the actual address.

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: 2007-06-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070628000279IPhysical Therapist In Private PracticeCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 06450)

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Provider's Procedures

MRS. KELLY JEAN ANETRELLLA (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCT97001Physical therapy evaluation2925
PHYSICAL THERAPYCT97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8120
PHYSICAL THERAPYCT97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes36330

Reviews

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Frequently asked questions

How is MRS. KELLY JEAN ANETRELLLA (P.T.) identified in CMS data?
CMS-hosted NPPES data lists MRS. KELLY JEAN ANETRELLLA (P.T.) with NPI 1255367520.
Is MRS. KELLY JEAN ANETRELLLA (P.T.) listed as active for patients and plans?
The listing shows MRS. KELLY JEAN ANETRELLLA (P.T.) as active in the NPI system.
What is MRS. KELLY JEAN ANETRELLLA (P.T.) best known for clinically?
Directory data describes MRS. KELLY JEAN ANETRELLLA (P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KELLY JEAN ANETRELLLA (P.T.)?
MRS. KELLY JEAN ANETRELLLA (P.T.)'s geographic hint is Meriden, Connecticut in our summary view.
Is the information about MRS. KELLY JEAN ANETRELLLA (P.T.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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