Active NPI
Skyler Kennamer, OTD
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1407626849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026752
- Practice address
- 390 Jackson Ave
Bronx, NY 10454-1628 - Phone
- (917) 801-3884
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 026752 | NY | Primary |
Addresses
Primary practice location
390 Jackson Ave
Bronx, NY 10454-1628
Mailing address
276 1St Ave Apt 5C
New York, NY 10009-1822
Phone (205) 790-4719
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026752 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1407626849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 1ST AVE APT 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100091822",
"telephone_number": "205-790-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 JACKSON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104541628",
"telephone_number": "917-801-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNAMER",
"first_name": "SKYLER",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.