Active NPI
Dewey Theodore Kahn II, DRS, CDI, OTR/L
- Specialist
- Portsmouth, NH
National Provider Identifier
1053854224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1549
- Practice address
- 105 Corporate Drive, Pease International Tradeport
Northeast Rehabilitation Hospital
Portsmouth, NH 03801 - Phone
- (603) 501-5500
- NPI assigned
- Nov 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1549 | NH | Primary |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 0711 | NH |
Addresses
Primary practice location
105 Corporate Drive, Pease International Tradeport
Northeast Rehabilitation Hospital
Portsmouth, NH 03801
Mailing address
44 Tamarack Rd
Lee, NH 03861-6317
Phone (617) 649-6204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1549 | NH | MD | Specialist |
| 0711 | NH | MD | Driving and Community Mobility Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1053854224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 TAMARACK RD",
"city": "LEE",
"state": "NH",
"postal_code": "038616317",
"telephone_number": "617-649-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CORPORATE DRIVE, PEASE INTERNATIONAL TRADEPORT",
"address_2": "NORTHEAST REHABILITATION HOSPITAL",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "603-501-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "DEWEY",
"middle_name": "THEODORE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "DRS, CDI, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NH",
"license": "1549",
"primary": true
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "NH",
"license": "0711",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.