Individual provider Active NPI

Kendrick Pol Marania, OT

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1083351399
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
026778 Issued in NY
Practice address
31 E 32ND St FL4
New York, NY 10016-1257
Phone
(212) 759-2282
Fax
(212) 379-2123
NPI assigned
May 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 026778 NY Primary

Addresses

Primary practice location

31 E 32ND St FL4
New York, NY 10016-1257

Mailing address

31 E 32ND St FL4
New York, NY 10016-1257
Phone (212) 759-2282

Other practice location 1

145 E 48th St Apt 17F
New York, NY 10017-1257
Phone (732) 543-6731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220601002010 NY Practitioner - Occupational Therapist in Private Practice 3870971955 Reassigns benefits to 1 organization
I20250709000876 NJ Practitioner - Occupational Therapist in Private Practice 3870971955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spear Physical and Occupational Therapy, LLCGroup PAC ID 6901832112, 582 clinicians

Practice addresses (Care Compare)

269 W 16TH St
New York, NY 10011-6000
Phone (646) 841-1411

776 N Rte
Suite 17
Paramus, NJ 07652-3117
Phone (201) 808-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026778NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Occupational Therapist CurrentSince Feb 22, 2023 Accepting new patients
Spear Physical and Occupational Therapy, LLC Occupational Therapist PastSince Aug 15, 2021 Accepting new patients

Locations

850 Oceanport Ave
Oceanport, NJ 07757
Phone (848) 289-0780

776 N Route 17
Paramus, NJ 07652
Phone (201) 225-9222

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

102 Madison Ave
Fl 8
New York, NY 10016

269 W 16th St
New York, NY 10011
Phone (646) 841-1411

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1083351399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161257",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161257",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 E 48th St Apt 17F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100171257",
            "country_code": "US",
            "telephone_number": "732-543-6731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARANIA",
        "first_name": "KENDRICK",
        "middle_name": "POL",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.