Kenneth James Kelley, OTR/L | |
6 Farmhouse Dr, Ridge, NY 11961-2170 | |
(631) 775-8533 | |
Not Available |
Full Name | Kenneth James Kelley |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 6 Farmhouse Dr, Ridge, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518238914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 016948 (New York) | Primary |
Provider Name | Home Advantage Occupational Therapy, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730467572 PECOS PAC ID: 4385819218 Enrollment ID: O20111205000611 |
Mailing Address | Practice Location Address |
---|---|
Kenneth James Kelley, OTR/L 6 Farmhouse Dr, Ridge, NY 11961-2170 Ph: (631) 775-8533 | Kenneth James Kelley, OTR/L 6 Farmhouse Dr, Ridge, NY 11961-2170 Ph: (631) 775-8533 |
Ms. Eileen Leighton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Stony Hollow Ln, Ridge, NY 11961 Phone: 631-929-5656 | |
Barbara Frances Lenihan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Dynasty Dr, Ridge, NY 11961 Phone: 631-744-6344 | |
Dawn Theresa Geminski, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Marc Dr, Ridge, NY 11961 Phone: 631-466-8592 |