Kevin James Daly, OTR/L

Primary specialty

ContractorTaxonomy code 171W00000X

License

009133-1 Issued in NY

Practice address

183 Washington Ave
Patchogue, NY 11772-2756

Phone

(703) 966-7868

NPI assigned

Jun 15, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1174750384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WASHINGTON AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722756",
            "telephone_number": "703-966-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WASHINGTON AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722756",
            "telephone_number": "703-966-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000440",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002773",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "009133-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000845413B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Da Acupuncture P.C.
• Sandra A Dacunha, LCSW
• Qi Dai, DDS
• Christopher A Daiuto, LMSW
• Gregory Dalcollo
• Jean Nekel Fils Darius, RN
• Irene F Dashiell, LCSW
• David N. Reavis MD, P.C.
• Nicolette Davila, RDN
• Roosje De Grauw-Mare, MD

• Contractor in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.