Individual provider Active NPI

Kelly Sue Wood, OT

  • Occupational Therapist
  • Canton, NY
National Provider Identifier
1235207929
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015269 Issued in NY
Practice address
1942 Old Dekalb Rd
Canton, NY 13617
Phone
(315) 386-3529
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015269 NY Primary

Addresses

Primary practice location

1942 Old Dekalb Rd
Canton, NY 13617

Mailing address

2 Alverson Rd
Hermon, NY 13652-3252
Phone (315) 347-1381

Other practice location 1

63 1/2 S Main St
Norwood, NY 13668-3168
Phone (315) 353-6618

Other practice location 2

6 Commerce Ln
Canton, NY 13617-3738
Phone (315) 379-9571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712002159 NY Practitioner - Occupational Therapist in Private Practice 8123310117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex County Chapter Nysarc IncGroup PAC ID 9133419948, 10 clinicians

Practice addresses (Care Compare)

10 St Patrick PL
Port Henry, NY 12974-1200
Phone (518) 546-7151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0060921NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jul 19, 2025 Accepting new patients
New Dimensions in Living Inc Past Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

Organizations & group practices 4

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1235207929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALVERSON RD",
            "city": "HERMON",
            "state": "NY",
            "postal_code": "136523252",
            "telephone_number": "315-347-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 OLD DEKALB RD",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-386-3529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 1/2 S Main St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NY",
            "postal_code": "136683168",
            "country_code": "US",
            "telephone_number": "315-353-6618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Commerce Ln",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136173738",
            "country_code": "US",
            "telephone_number": "315-379-9571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.