Keisha M Charles, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

122 Townhouse Rd N
Huntington Station, NY 11746-1276

Phone

(516) 514-5098

NPI assigned

Apr 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Priority One Therapy PT OT SLP PLLC

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1891438255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 TOWNHOUSE RD N",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461276",
            "telephone_number": "516-514-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 TOWNHOUSE RD N",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461276",
            "telephone_number": "516-514-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "KEISHA",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Certified Orthopedic, Co. Inc
• Leslie Carmina Cespedes, M.D
• Marie Yvanne Cham
• Caroline Frances Champney, RN
• Bobby Chandok, MD
• Marlyne Charles, CNM
• Stephanie Charles
• Fatima R Chaudhary, PHARMD
• David Chen, DO
• Cheryl Natalie Chery

• Occupational Therapist in Huntington Station, NY
• Providers in Huntington Station, 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 Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.