Individual provider Active NPI

Vanessa Chantelle Khan, MA OTR

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1841343837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014426-1 Issued in NY
Practice address
204 E 25TH St Apt 1D
New York, NY 10010-3104
Phone
(347) 724-4065
NPI assigned
Jan 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 014426-1 NY Primary

Addresses

Primary practice location

204 E 25TH St Apt 1D
New York, NY 10010-3104

Mailing address

204 E 25TH St Apt 1D
New York, NY 10010-3104
Phone (347) 724-4065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620002674 FL Practitioner - Occupational Therapist in Private Practice 6002140365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kineticore Rehab Inc.Group PAC ID 9133624554, 4 clinicians

Practice addresses (Care Compare)

8480 Rattlesnake Hammock Rd Rd
Naples, FL 34114-2503
Phone (239) 401-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
014426-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kineticore Rehab Inc. Occupational Therapist CurrentSince Jul 20, 2025 Accepting new patients
Optimized Therapy Transitions, LLC Occupational Therapist CurrentSince Apr 5, 2023 Accepting new patients
On Site Dermatology LLC PastSince Jul 20, 2025 Accepting new patients

Locations

8480 Rattlesnake Hammock Rd
Naples, FL 34114
Phone (239) 401-3144

8480 Rattlesnake Hammock Rd
#R
Naples, FL 34114
Phone (239) 401-3144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841343837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 25TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103104",
            "telephone_number": "347-724-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 25TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103104",
            "telephone_number": "347-724-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "VANESSA",
        "middle_name": "CHANTELLE",
        "credential": "MA OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014426-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.