KILEY L HENDERSON (MS, OTR/L, CHT) – Occupational Therapist, NPI 1104108463

KILEY L HENDERSON (MS, OTR/L, CHT) is a healthcare provider. based in Houlton, Maine. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, OTR/L, CHT. They hold a License No. OT1426 (ME). The NPI Number for KILEY L HENDERSON (MS, OTR/L, CHT) is 1104108463

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KILEY L HENDERSON (MS, OTR/L, CHT)
NPI
1104108463
Phone
(207) 521-0200
Address
98 BANGOR ST STE A
Enumeration Date
13 September 2011
Last Update Date
16 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
3779757695
Group Practice PAC ID
3779520242
Professional Enrollment ID
I20111110000611
Address ID
ME047362052Ca118XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

136 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in ME

Provider Addresses for KILEY L HENDERSON (MS, OTR/L, CHT)

  • 98 BANGOR ST STE A

    HOULTON, ME 047301603

    Phone: (207) 521-0200

    Fax: (207) 521-0210

    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: 2011-11-10

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
I20111110000611IOccupational Therapist In Private PracticeMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes50243$0
97530Therapy procedure using functional activities45233$0
97165Evaluation for occupational therapy, typically 30 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 04730)

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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: 3779520242View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
-ME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME

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Frequently asked questions

What is KILEY L HENDERSON (MS, OTR/L, CHT)'s NPI number?
KILEY L HENDERSON (MS, OTR/L, CHT)'s NPI is 1104108463 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KILEY L HENDERSON (MS, OTR/L, CHT)?
For scheduling context, KILEY L HENDERSON (MS, OTR/L, CHT) is shown as active in the registry.
What expertise is attributed to KILEY L HENDERSON (MS, OTR/L, CHT)?
KILEY L HENDERSON (MS, OTR/L, CHT)'s specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is KILEY L HENDERSON (MS, OTR/L, CHT) associated with Houlton?
Public fields place KILEY L HENDERSON (MS, OTR/L, CHT) around Houlton, Maine. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KILEY L HENDERSON (MS, OTR/L, CHT) is noted as September 13, 2011 where the registry provides it.

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