Lisa Kehoe

Individual provider Active NPI Occupational Therapist · Colonie, NY

NPI 1992644553 · NPPES record last updated Mar 27, 2026

Key facts

NPI
1992644553
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
018589-01 (NY)
Practice address
3 Antoinette LN
Colonie, NY 12205-2241
Phone
(508) 942-1109
NPI assigned
Mar 27, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
018589-01NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X 018589-01 NY Yes

Addresses

Primary practice location

3 Antoinette LN
Colonie, NY 12205-2241

Mailing address

3 Antoinette LN
Colonie, NY 12205-2241
Phone (508) 942-1109

Other providers in Colonie, NY

All providers in Colonie, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.