Individual provider Active NPI

Kwame Annor-Mensah, OTR/L

  • Pediatric Occupational Therapist
  • Astoria, NY
National Provider Identifier
1215344411
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0185041 Issued in NY
Practice address
815 27TH Ave
Apt. 410
Astoria, NY 11102-3905
Phone
(917) 815-9023
NPI assigned
Jul 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0185041 NY Primary

Addresses

Primary practice location

815 27TH Ave
Apt. 410
Astoria, NY 11102-3905

Mailing address

815 27TH Ave
Apt. 410
Astoria, NY 11102-3905
Phone (917) 815-9023

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
0185041NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson in Home Physical Therapy PLLC CurrentSince May 9, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1215344411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 27TH AVE",
            "address_2": "APT. 410",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023905",
            "telephone_number": "917-815-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 27TH AVE",
            "address_2": "APT. 410",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023905",
            "telephone_number": "917-815-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNOR-MENSAH",
        "first_name": "KWAME",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-20",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0185041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2014; 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.