Kevin O Okonta, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053795 Issued in NY

Practice address

125 Breeley Blvd # 1013
Melville, NY 11747-5332

Phone

(631) 940-3288

NPI assigned

Feb 11, 2025

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

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.

• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment Care Compare group NPD
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• New York University

  dba NYU Cardiology Associates

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1952392961
  NPD (past)
• Nyumc Radiology Associates

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1962513101
  NPD (past)

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1932914587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BREELEY BLVD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475332",
            "telephone_number": "631-599-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BREELEY BLVD # 1013",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475332",
            "telephone_number": "631-940-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONTA",
        "first_name": "KEVIN",
        "middle_name": "O",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Oceguera
• Brittany Oconnell
• Samantha C Oconnell
• Glory Odeh
• Valerie Odeh, MFT-LP
• Jenna Olivieri
• Robin Lee Olliver, RN
• Angela Olsen
• Georgina Olsen
• Mercelina Olukogbon, RN

• Physical Therapist in Melville, NY
• Providers in Melville, 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 Feb 11, 2025; 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.