Individual provider Active NPI

Kettly Denis-Lamour

  • Physical Rehabilitation Occupational Therapist
  • Rosedale, NY
National Provider Identifier
1942117205
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
01525601 Issued in NY
Practice address
23804 128TH Ave
Rosedale, NY 11422-1054
Phone
(984) 365-8898
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 01525601 NY Primary

Addresses

Primary practice location

23804 128TH Ave
Rosedale, NY 11422-1054

Mailing address

23804 128TH Ave
Rosedale, NY 11422-1054
Phone (984) 365-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1942117205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23804 128TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221054",
            "telephone_number": "984-365-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23804 128TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221054",
            "telephone_number": "984-365-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENIS-LAMOUR",
        "first_name": "KETTLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "01525601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.