Individual provider Active NPI

Robert Dayton Knapp, OTR/L

  • Occupational Therapist
  • Penn Yan, NY
National Provider Identifier
1114020393
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
018206-1 Issued in NY
Practice address
1 Keuka Business Park
Suite 201
Penn Yan, NY 14527
Phone
(135) 694-9056
Fax
(352) 593-5918
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 018206-1 NY Primary

Addresses

Primary practice location

1 Keuka Business Park
Suite 201
Penn Yan, NY 14527

Mailing address

1 Keuka Business Park
Suite 118
Penn Yan, NY 14527
Phone (315) 694-9056

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
018206-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D Knapp Independent at Home CurrentSince Jan 11, 2016 Accepting new patients
Spring Hill Rehab and Lymphedema Center Occupational Therapist PastSince Aug 25, 2001 Accepting new patients
Independence Inn Inc Occupational Therapist Past Accepting new patients

Locations

1 Basin St
Ste 201
Penn Yan, NY 14527
Phone (315) 536-3700

1 Basin St
Ste 118
Penn Yan, NY 14527
Phone (315) 694-9056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1114020393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KEUKA BUSINESS PARK",
            "address_2": "SUITE 118",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "315-694-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KEUKA BUSINESS PARK",
            "address_2": "SUITE 201",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "135-694-9056",
            "fax_number": "352-593-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "ROBERT",
        "middle_name": "DAYTON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018206-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.