Active NPI
Kerry Alice McDonald
- Occupational Therapist
- Queens Village, NY
National Provider Identifier
1164158630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026991
- Practice address
- 8628 Francis Lewis Blvd
Queens Village, NY 11427-1668 - Phone
- (718) 740-2300
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- 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 | 026991 | NY | Primary |
Addresses
Primary practice location
8628 Francis Lewis Blvd
Queens Village, NY 11427-1668
Mailing address
4356 248TH St
Little Neck, NY 11363-1651
Phone (646) 417-3463
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 |
|---|---|---|---|
| 026991 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Books & Rattles, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Elmhurst, NY
- NPI 1679398853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1164158630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4356 248TH ST",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113631651",
"telephone_number": "646-417-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8628 FRANCIS LEWIS BLVD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271668",
"telephone_number": "718-740-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KERRY",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.