Active NPI
Kariann Kelly, M.S., OTR L
- Pediatric Occupational Therapist
- Bohemia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 010735-1
- Practice address
- 45 Crossway E
Bohemia, NY 11716-1204 - Phone
- (631) 218-4949
- NPI assigned
- Feb 3, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 010735-1 | NY | Primary |
Addresses
Primary practice location
45 Crossway E
Bohemia, NY 11716-1204
Mailing address
11 White Oak St
Middle Island, NY 11953-1435
Phone (631) 775-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 Broadway
Suite 100
Amityville, NY 11701-2260
Phone (631) 608-8874
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010735-1 | NY | MD | Orthopedic Physical Therapist |
| 010735 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Current | Accepting new patients |
Locations
805 Broadway
Ste 100
Amityville, NY 11701
Phone (631) 608-8874
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467590083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WHITE OAK ST",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119531435",
"telephone_number": "631-775-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CROSSWAY E",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161204",
"telephone_number": "631-218-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "KARIANN",
"name_prefix": "Mrs.",
"credential": "M.S., OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "010735-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.