Individual provider Active NPI

Kevin Greenfield

  • Occupational Therapist
  • Morristown, NJ
National Provider Identifier
1770176935
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00970700 Issued in NJ
Practice address
77 Madison Ave
Morristown, NJ 07960-7330
Phone
(973) 540-9800
NPI assigned
Feb 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00970700 NJ Primary

Addresses

Primary practice location

77 Madison Ave
Morristown, NJ 07960-7330

Mailing address

116 Weinmanns Blvd
Wayne, NJ 07470-2855
Phone (973) 907-0924

Other practice location 1

540 W Hanover Ave
Morristown, NJ 07960-2500
Phone (973) 863-3528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908001633 NJ Practitioner - Occupational Therapist in Private Practice 4486059060 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Home Therapy Services LLCGroup PAC ID 5496131872, 11 clinicians

Practice addresses (Care Compare)

116 Weinmanns Blvd
Wayne, NJ 07470-2855
Phone (973) 907-0924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Exemplary Home Therapy Services LLC CurrentSince Jun 27, 2023 Accepting new patients
Topnotch Therapy Services LLC CurrentSince Aug 16, 2021 Accepting new patients
Kinetic Home Therapy Services LLC CurrentSince Sep 7, 2022 Accepting new patients

Organizations & group practices 3

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1770176935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WEINMANNS BLVD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702855",
            "telephone_number": "973-907-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607330",
            "telephone_number": "973-540-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 W Hanover Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079602500",
            "country_code": "US",
            "telephone_number": "973-863-3528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00970700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.