Kenneth L. Damcott Jr., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC007419L Issued in PA

Practice address

2301 Edinboro Rd
Erie, PA 16509-3409

Phone

(814) 860-7117

NPI assigned

Dec 31, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1679938906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063013",
            "telephone_number": "814-323-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EDINBORO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093409",
            "telephone_number": "814-860-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "PA",
            "postal_code": "164151703",
            "country_code": "US",
            "telephone_number": "814-838-4822",
            "fax_number": "814-833-8356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMCOTT",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007419L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Dale
• Samantha Dales, DPT
• Parker Dalglish, DO
• Brian Edward Dalton, M.D.
• John H Damcott, DMD
• April Damond
• Patrick J Damond, LPC
• Kurt S Dangl, DMD, MD
• Daniel & Max, LLC
• Daniel & Max, LLC

• Occupational Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.