Elizabeth R Koulermos, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024135 Issued in NY

Practice address

201 Sunrise Hwy W
Patchogue, NY 11772-1868

Phone

(631) 289-2200

NPI assigned

Oct 14, 2019

Last updated

Aug 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth R Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Suffolk Boces

  • Public Health or Welfare Agency
  • Patchogue, NY
  • NPI 1073890091
  NPD (past)
• Esboces

  • Public Health or Welfare Agency
  • Patchogue, NY
  • NPI 1093092025
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1275175960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 10TH AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311722",
            "telephone_number": "631-873-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SUNRISE HWY W",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721868",
            "telephone_number": "631-289-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOULERMOS",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024135",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "024135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KELLY",
            "middle_name": "R",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elaine Marie Kohler, LMT
• Brian Lewis Koppelman, DDS
• Edward J Kormylo, DPM
• Amanda Kosin
• Bonnie F Kotkin, MA, LMHC
• Amanda Rose Kozakiewicz
• Lynn Christine Kramer, PA
• Rachel Kraushaar
• Adrian S Krueger, PA
• Adam Kruger, D.O.

• Occupational Therapist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.