Individual provider Active NPI

Kesha Savariau

  • Occupational Therapy Assistant
  • Paterson, NJ
National Provider Identifier
1558900456
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
009656 Issued in NY
Practice address
296 E 16TH St
Paterson, NJ 07524-3145
Phone
(973) 807-8906
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 009656 NY Primary

Addresses

Primary practice location

296 E 16TH St
Paterson, NJ 07524-3145

Mailing address

296 E 16TH St
Paterson, NJ 07524-3145
Phone (973) 807-8906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260115002189 NJ Practitioner - Occupational Therapist in Private Practice 1052897428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

385 Clinton Ave
Wyckoff, NJ 07481-1969

396 W Clinton St
Haledon, NJ 07508-1528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009656NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy LLC CurrentSince Dec 13, 2025 Accepting new patients

Locations

800 E Gate Blvd
Garden City, NY 11530

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.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1558900456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 E 16TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075243145",
            "telephone_number": "973-807-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 E 16TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075243145",
            "telephone_number": "973-807-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVARIAU",
        "first_name": "KESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.