Individual provider Active NPI

Keren Corbacho Gainza, OTR/L

  • Pediatric Occupational Therapist
  • Syracuse, NY
National Provider Identifier
1710896865
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
031282 Issued in NY
Practice address
1005 W Fayette St
Syracuse, NY 13204-2860
Phone
(315) 435-4545
Fax
(315) 435-4939
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 031282 NY Primary

Addresses

Primary practice location

1005 W Fayette St
Syracuse, NY 13204-2860

Mailing address

1005 W Fayette St
Syracuse, NY 13204-2860
Phone (315) 435-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1710896865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042860",
            "telephone_number": "315-435-4545",
            "fax_number": "315-435-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042860",
            "telephone_number": "315-435-4545",
            "fax_number": "315-435-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBACHO GAINZA",
        "first_name": "KEREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "031282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.