Kerry Ojeda, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035546 Issued in NY

Practice address

1991 Marcus Avenue
Suite 110
Lake Success, NY 11042-2058

Phone

(516) 466-4700

Fax

(516) 466-4810

NPI assigned

Oct 1, 2013

Last updated

Oct 1, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Ko Physical Therapy PLLC

  dba Kerry Ojeda

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1013738756
  NPD Authorized official

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1932536265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVENUE",
            "address_2": "SUITE 110",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110422058",
            "telephone_number": "516-466-4700",
            "fax_number": "516-466-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVENUE",
            "address_2": "SUITE 110",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110422058",
            "telephone_number": "516-466-4700",
            "fax_number": "516-466-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEDA",
        "first_name": "KERRY",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York University (NYU Langone Arena Oncology)
• North Shore Medical Specialties Group PC
• North Shore Pulmonary Associates, PC
• Norwind Medical, P.C.
• Takao Ohki
• Denis A Ostrovskiy, M.D.
• Our Baby, Inc.
• Tejas Patel, MD
• Betsy Tomy Paul, NP
• Elliot J Pellman, MD

• Physical Therapist in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.