Patrick McKenna, OTR
Individual provider Active NPI Occupational Therapist · East Quogue, NY
NPI 1831341601 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1831341601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2435 (CT)
- Practice address
- 143 Chardonnay Dr
East Quogue, NY 11942-3829 - Phone
- (631) 278-0665
- Fax
- (203) 651-1877
- NPI assigned
- Oct 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002435 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 002435 | CT | |
| Occupational Therapist | 225X00000X | 2435 | CT | Yes |
Addresses
Primary practice location
143 Chardonnay Dr
East Quogue, NY 11942-3829
Mailing address
143 Chardonnay Dr
East Quogue, NY 11942-3829
Phone (631) 278-0665
Other providers in East Quogue, NY
- Lifelong Rehab Inc
- Sabrina Grace Mackenzie
- Patricia Ann Mann Bower
- Margaret Mary Massa
- Maryann Elizabeth McCormack
- Christine Ann Merrihew
- Dorothy A Morgan
- Victoria A. Mulvey
- Stacey Naglieri
- Madison Taylor Oakley
All providers in East Quogue, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.