Active NPI
Gary Kahn, OTR/L
- Occupational Therapist
- Syracuse, NY
National Provider Identifier
1154365641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 006616-1
- Practice address
- 800 Irving Ave
Syracuse, NY 13210-2716 - Phone
- (315) 425-4400
- NPI assigned
- Jun 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006616-1 | NY | Primary |
Addresses
Primary practice location
800 Irving Ave
Syracuse, NY 13210-2716
Mailing address
108 Stonecrest Dr
Manlius, NY 13104-2522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006616 | NY | MD | Mental Health Counselor |
| 006616-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1154365641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 STONECREST DR",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131042522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102716",
"telephone_number": "315-425-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "006616-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.