| Kenneth James Kelley, OTR/L | |
|
6 Farmhouse Dr, Ridge, NY 11961-2170 | |
| (631) 775-8533 | |
| Not Available |
| Full Name | Kenneth James Kelley |
|---|---|
| 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. |
|---|---|
| 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 |
Eileen Leighton Otr L P.c. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Stony Hollow Ln, Ridge, NY 11961 Phone: 631-929-5656 | |
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 |