Individual provider Active NPI

Kathleen Scanlon, OTR/L

  • Pediatric Occupational Therapist
  • Massapequa, NY
National Provider Identifier
1821931288
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
031076-01 Issued in NY
Practice address
669 Broadway
Massapequa, NY 11758-2314
Phone
(516) 799-2900
Fax
(516) 799-2928
NPI assigned
Apr 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 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 031076-01 NY Primary

Addresses

Primary practice location

669 Broadway
Massapequa, NY 11758-2314

Mailing address

669 Broadway
Massapequa, NY 11758-2314
Phone (516) 799-2900

Other practice location 1

378 Larkfield Rd Ste 2
East Northport, NY 11731-3540
Phone (516) 799-2900

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
031076-01NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensational Development OT, PLLC Past Accepting new patients
Sensational Development OT, PLLC Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1821931288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582314",
            "telephone_number": "516-799-2900",
            "fax_number": "516-799-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582314",
            "telephone_number": "516-799-2900",
            "fax_number": "516-799-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Larkfield Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "East Northport",
            "state": "NY",
            "postal_code": "117313540",
            "country_code": "US",
            "telephone_number": "516-799-2900",
            "fax_number": "516-799-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "KATHLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "031076-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.