MRS. KELLY ANN BRENNAN (OTR/L) – Occupational Therapist, NPI 1033468244

MRS. KELLY ANN BRENNAN (OTR/L) is a healthcare provider. based in Eagleville, Pennsylvania. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OC009955 (PA). The NPI Number for MRS. KELLY ANN BRENNAN (OTR/L) is 1033468244

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY ANN BRENNAN (OTR/L)
NPI
1033468244
Phone
(267) 614-4571
Address
1080 BAYLESS PL
Enumeration Date
4 September 2012
Last Update Date
4 September 2012

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4842660387
Graduation Year
2005 (21 years ago)
PAC ID
9234624388
Group Practice PAC ID
3173626272
Professional Enrollment ID
I20251217000112
Address ID
PA170789005PA103XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

855 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for MRS. KELLY ANN BRENNAN (OTR/L)

  • 1080 BAYLESS PL

    EAGLEVILLE, PA 194031464

    Phone: (267) 614-4571

    Type: Mailing

  • 2250 HICKORY RD

    SUITE 240

    PLYMOUTH MEETING, PA 194621047

    Phone: (800) 879-4471

    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: 2025-12-17

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
I20251217000112IOccupational Therapist In Private PracticePATBD

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 19403)

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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: 3173626272View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticePA
-PA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
-PA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticeDE
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Does MRS. KELLY ANN BRENNAN (OTR/L) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. KELLY ANN BRENNAN (OTR/L) uses 1033468244.
Does CMS list MRS. KELLY ANN BRENNAN (OTR/L) as active?
Yes — MRS. KELLY ANN BRENNAN (OTR/L) is active in the NPI listing used on this page.
What is MRS. KELLY ANN BRENNAN (OTR/L) best known for clinically?
Directory data describes MRS. KELLY ANN BRENNAN (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is MRS. KELLY ANN BRENNAN (OTR/L) based?
MRS. KELLY ANN BRENNAN (OTR/L) is tied to Eagleville, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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