KELLY KRONEMEYER – Occupational Therapist, NPI 1124977467

KELLY KRONEMEYER is a healthcare provider. based in Brighton, Massachusetts. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. OTL36430 (MA). The NPI Number for KELLY KRONEMEYER is 1124977467

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KELLY KRONEMEYER
NPI
1124977467
Phone
Not provided
Address
4 AYR RD APT 21
Enumeration Date
28 January 2026
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174048958
Graduation Year
2025 (1 year ago)
PAC ID
7517449226
Group Practice PAC ID
0244555647
Professional Enrollment ID
I20260303002423
Address ID
MA021697500QU3XXXXPARK301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

370 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for KELLY KRONEMEYER

  • 4 AYR RD APT 21

    BRIGHTON, MA 021357749

    Phone:

    Type: Mailing

  • 3 BATTERYMARCH PARK

    QUINCY, MA 021697500

    Phone: (617) 404-8958

    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: 2026-03-03

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
I20260303002423IOccupational Therapist In Private PracticeMATBD

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 02135)

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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: 0244555647View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Qualified Speech Language PathologistMA
-MA
-MA
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Occupational Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Does KELLY KRONEMEYER have a public NPI I can cite?
Public records show KELLY KRONEMEYER under NPI 1124977467.
Does the public listing show KELLY KRONEMEYER as active?
KELLY KRONEMEYER's NPI record reflects an active status in NPPES.
Which specialty label fits KELLY KRONEMEYER?
NPPES ties KELLY KRONEMEYER to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELLY KRONEMEYER?
KELLY KRONEMEYER is associated with Brighton, Massachusetts in the same public data insurers reference.
Who maintains KELLY KRONEMEYER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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