Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Destefano

Individual provider Occupational Therapist · NPI 1598263931

Kelly Destefano is an Occupational Therapist in Private Practice in Cranbury, New Jersey. Qualified in 2013, 13 years ago. Practices with Homeside Rehab PT OT SLP LLC, a 45-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2018

Practice location Address checks out

61 Maplewood Ave
Cranbury, NJ 08512-3237
Phone: (609) 395-3445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00635400 (NJ)

Record details

NPI number1598263931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2018
Last updated in NPPESJanuary 31, 2018
Mailing address240 Evergreen Ave, Hamilton, NJ 08619-1808

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Homeside Rehab Pt Ot Slp Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cranbury