Active NPI
Kelly Reynolds
- Occupational Therapist
- Clifton Park, NY
National Provider Identifier
1881043701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020596
- Practice address
- 1 Emma LN
Clifton Park, NY 12065-3763 - Phone
- (518) 280-5867
- Fax
- (518) 280-5868
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 020596 | NY | Primary |
Addresses
Primary practice location
1 Emma LN
Clifton Park, NY 12065-3763
Mailing address
20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020596 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1881043701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PEACHTREE CT",
"address_2": "SUITE 105",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "631-467-3700",
"fax_number": "631-467-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMMA LN",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653763",
"telephone_number": "518-280-5867",
"fax_number": "518-280-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
- Brigette Reardon, LMHC-D
- Emily Reedy
- Nicholas Ryan Rehberg, PHARMD
- Caroline Ann Reis, LMHC
- Horst Renz, DDS
- Jamie-Lyn Ricci, LMHC
- Riccio-Camardello NP in Psychiatry and NP in Family Health PLLC (Maxwell Mental Health)
- Alexandra P. Riccio, N.P.
- Richard J Herbold Chiropractor PC
- Richard T Jackson LLC (Saratoga Headache Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.