Kelly M Penn, OTR
Occupational Therapist in East Granby, Connecticut
1457232613- Practice location
- 22 Stark Dr, East Granby, CT 06026-9616
- Phone
- 860-752-8143
- Fax
- —
- Last updated
- September 11, 2025
Kelly Michelle Penn is an Occupational Therapist based in East Granby, CT. Kelly Michelle Penn practices in East Granby, CT and has the professional credentials of OTR. The NPI Number for Kelly Michelle Penn is 1457232613 and holds a License No. 5668 (CT). The current practice location address for Kelly Michelle Penn is 22 Stark Dr, East Granby, CT 06026-9616 and can be reached out via phone at 860-752-8143.
Provider Profile Details
- NPI Number
- 1457232613
- Provider Name
- Kelly Michelle Penn
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Stark Dr, East Granby, CT 06026-9616
- Phone Number
- 860-752-8143
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 11, 2025
- Last Update Date
- September 11, 2025
- Certification Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Stark Dr
East Granby, CT 06026-9616 - City
- East Granby
- State
- Connecticut
- Zip
- 06026-9616
- Phone Number
- 860-752-8143
Provider Business Mailing Address Details
- Address
- 22 Stark Dr
East Granby, CT 06026-9616 - City
- East Granby
- State
- CT
- Zip
- 06026-9616
- Phone Number
- 860-752-8143
License Information
- License Number
- 5668
- License State
- CT
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelly M Penn, OTR?
The NPI number of Kelly M Penn, OTR is 1457232613. It was assigned on September 11, 2025 and is currently active in the NPPES registry.
What is the specialty of Kelly M Penn, OTR?
Kelly M Penn, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 5668.
Where does Kelly M Penn, OTR practice?
The practice location is 22 Stark Dr, East Granby, CT 06026-9616. The office can be reached at 860-752-8143 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457232613 directly on the NPPES registry website.