Elkin Grey Koenig, MS OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018272 Issued in NY

Practice address

555 Saint Josephs Blvd Ste a
Elmira, NY 14901-3223

Phone

(076) 733-6541

NPI assigned

Sep 5, 2013

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Leaps and Bounds Occupational Therapy PLLC

  • Occupational Therapist
  • Elmira Heights, NY
  • NPI 1073900346
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1871928143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MORLEY PL",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042630",
            "telephone_number": "716-725-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SAINT JOSEPHS BLVD STE A",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013223",
            "telephone_number": "076-733-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "ELKIN",
        "middle_name": "GREY",
        "credential": "MS OTR",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "018272",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Knapp, R.N.
• Knickerbocker Dialysis Inc
• Nicole Ann Knott
• Julie M Knowles
• Cynthia Koch
• Christine Renee Koernig, PA-C
• Sallyanne Kohut, M.S. CCC-SLP
• Agnieszka Daria Kolano
• James Frank Kolynich, PA
• Joshua William Kopp

• Occupational Therapist in Elmira, NY
• Providers in Elmira, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.