Individual provider Active NPI

Kenyon Greve, OTD, OTR/L, CEAC

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1366317463
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010669 Issued in OH
Practice address
2722 Erie Ave
Ste 219, PMB 36053
Cincinnati, OH 45208-2154
Phone
(212) 321-5113
NPI assigned
Oct 8, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 OT010669 OH Primary

Addresses

Primary practice location

2722 Erie Ave
Ste 219, PMB 36053
Cincinnati, OH 45208-2154

Mailing address

5382 Mallet Club Dr
Dayton, OH 45439-4219

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114003455 OH Practitioner - Occupational Therapist in Private Practice 8921599184

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1551 Aristides Blvd Apt
Suite 1102
Lexington, KY 40511-1671

228 Park Ave S
Suite 36053
New York, NY 10003-1502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT010669OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

2722 Erie Ave
Cincinnati, OH 45208

2722 Erie Ave
Ste 219
Cincinnati, OH 45208
Phone (216) 217-9257

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1366317463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5382 MALLET CLUB DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454394219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 ERIE AVE",
            "address_2": "STE 219, PMB 36053",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082154",
            "telephone_number": "212-321-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVE",
        "first_name": "KENYON",
        "credential": "OTD, OTR/L, CEAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.