KELLY ELIZABETH CHILDRESS (OTR/L) – Pediatric Occupational Therapist, NPI 1023875325

KELLY ELIZABETH CHILDRESS (OTR/L) is a healthcare provider. based in Jupiter, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OT24927 (FL). The NPI Number for KELLY ELIZABETH CHILDRESS (OTR/L) is 1023875325

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ELIZABETH CHILDRESS (OTR/L)
NPI
1023875325
Phone
Not provided
Address
18370 LIMESTONE CREEK RD
Enumeration Date
4 March 2024
Last Update Date
15 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613209500
Graduation Year
2023 (3 years ago)
PAC ID
6103351499
Group Practice PAC ID
9537556014
Professional Enrollment ID
I20241122003262
Address ID
FL334583860JU18370RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KELLY ELIZABETH CHILDRESS (OTR/L)

  • 18370 LIMESTONE CREEK RD

    JUPITER, FL 334583860

    Phone:

    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: 2024-11-22

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
I20241122003262IOccupational Therapist In Private PracticeFLTBD

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 33458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537556014View full group profile
NameSpecialtyState
Qualified Speech Language PathologistAZ
Qualified Speech Language PathologistNJ
Clinical PsychologistOH
Mental Health CounselorFL
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

Can I verify KELLY ELIZABETH CHILDRESS (OTR/L) with an NPI only?
You can start verification with NPI 1023875325 for KELLY ELIZABETH CHILDRESS (OTR/L), then check state licensing separately.
Does CMS list KELLY ELIZABETH CHILDRESS (OTR/L) as active?
Yes — KELLY ELIZABETH CHILDRESS (OTR/L) is active in the NPI listing used on this page.
What is KELLY ELIZABETH CHILDRESS (OTR/L) best known for clinically?
Directory data describes KELLY ELIZABETH CHILDRESS (OTR/L) with Pediatric Occupational Therapist. Clinical services aligned with this taxonomy classification.
What area does KELLY ELIZABETH CHILDRESS (OTR/L) serve?
KELLY ELIZABETH CHILDRESS (OTR/L)'s listing highlights Jupiter, Florida; more addresses can appear in NPPES.
Is the information about KELLY ELIZABETH CHILDRESS (OTR/L) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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