Individual provider Active NPI

Jillian Kemmerlin, OTR

  • Occupational Therapist
  • Milford, DE
National Provider Identifier
1841811635
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0001423 Issued in DE
Practice address
21 W Clarke Ave Ste 1500
Milford, DE 19963-1840
Phone
(302) 945-4250
NPI assigned
May 3, 2020
Last updated
May 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X U1-0001423 DE Primary

Addresses

Primary practice location

21 W Clarke Ave Ste 1500
Milford, DE 19963-1840

Mailing address

659 S Salisbury Blvd Ste 1B
Salisbury, MD 21801-5458
Phone (410) 831-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506001951 DE Practitioner - Occupational Therapist in Private Practice 2365873338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21 W Clarke Ave
1500 Aquacare Physical Therapy
Milford, DE 19963-1840
Phone (302) 393-5535

Merit-based Incentive Payment System (MIPS)

Final score
75.34 of 100Reported as group
Quality
71.58
Improvement activities
40
Cost
69.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Konlian,O'Neill & Associates, P.a. CurrentSince May 26, 2020 Accepting new patients
LHCG Ccxxxi, LLC CurrentSince Jan 1, 2023 Accepting new patients
Konlian,O'Neill & Associates, P.a. CurrentSince May 26, 2020 Accepting new patients

Locations

490 N DuPont Hwy
Dover, DE 19901
Phone (302) 703-0800

20684 John J Williams Hwy
Lewes, DE 19958
Phone (302) 827-6040

34434 King Street Row
Ste 1
Lewes, DE 19958
Phone (302) 200-9920

21 W Clarke Ave
Ste 1500
Milford, DE 19963
Phone (302) 491-6529

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1841811635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD STE 1B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015458",
            "telephone_number": "410-831-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE STE 1500",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631840",
            "telephone_number": "302-945-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERLIN",
        "first_name": "JILLIAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.