Individual provider Active NPI

Dewey Theodore Kahn II, DRS, CDI, OTR/L

  • Specialist
  • Portsmouth, NH
National Provider Identifier
1053854224
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1549 Issued in NH
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

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1549NHMDSpecialist
0711NHMDDriving 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.

Verify at the official NPI Registry.