Active NPI
Kelly Taylor Rooney I
- Occupational Therapist
- Valhalla, NY
National Provider Identifier
1174255996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026929
- Practice address
- 503 Grasslands Rd
Valhalla, NY 10595-1503 - Phone
- (212) 787-9700
- NPI assigned
- Jun 29, 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 | 026929 | NY | Primary |
Addresses
Primary practice location
503 Grasslands Rd
Valhalla, NY 10595-1503
Mailing address
20 Van Zandt Dr
Pearl River, NY 10965-1241
Phone (917) 855-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026929 | NY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC | Current | Accepting new patients | |
| Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC | Current | Accepting new patients |
Locations
160 E Route 59
Nanuet, NY 10954
Phone (845) 362-7787
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.
-
- Pediatric Physical Therapist
- Nanuet, NY
- NPI 1831418359
-
- Early Intervention Provider Agency
- Nanuet, NY
- NPI 1477421501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1174255996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 VAN ZANDT DR",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651241",
"telephone_number": "917-855-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 GRASSLANDS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951503",
"telephone_number": "212-787-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROONEY",
"first_name": "KELLY",
"middle_name": "TAYLOR",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2024-04-30",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.