Active NPI
Kerry Ann Flavin, OTR/L
- Occupational Therapist
- Bohemia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029305
- Practice address
- 3330 Veterans Hwy
Bohemia, NY 11716-1036 - Phone
- (631) 319-6911
- NPI assigned
- Aug 26, 2024
- 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 | 029305 | NY | Primary |
Addresses
Primary practice location
3330 Veterans Hwy
Bohemia, NY 11716-1036
Mailing address
566 Rockville CT BLDG Suite
Oceanside, NY 11572-1827
Phone (516) 456-5467
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3330 Veterans Memorial Hwy
Bohemia, NY 11716-1036
Phone (631) 319-6911
6 Woodland Ave
Rockville Centre, NY 11570-6014
Phone (917) 584-1142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KC Occupational Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Occupational Therapist | Current | Accepting new patients |
| One on One Physical Therapy Services PLLC | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
3330 Veterans Memorial Hwy
Bohemia, NY 11716
Phone (631) 285-6789
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400
121 Broadhollow Rd
Unit B
Melville, NY 11747
Phone (631) 694-0005
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
Organizations & group practices 3
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.
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1831984756
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
Occupational Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1972336808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 ROCKVILLE CT BLDG SUITE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721827",
"telephone_number": "516-456-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 VETERANS HWY",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161036",
"telephone_number": "631-319-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAVIN",
"first_name": "KERRY ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.