Active NPIIndividual providerSole proprietor

Mr. Kyle A Kegerreis, COTA/L

Occupational Therapy Assistant in Kingston, Massachusetts

NPI Number1073085759
Practice location
17 Chipman Way, Kingston, MA 02364-1039
Fax
—
Last updated
December 19, 2018

Kyle Andrew Kegerreis is an Occupational Therapy Assistant based in Kingston, MA. Kyle Andrew Kegerreis practices in Kingston, MA and has the professional credentials of COTA/L. The NPI Number for Kyle Andrew Kegerreis is 1073085759 and holds a License No. 4407 (MA). The current practice location address for Kyle Andrew Kegerreis is 17 Chipman Way, Kingston, MA 02364-1039 and can be reached out via phone at 781-585-4100.

Provider Profile Details

NPI Number
1073085759
Provider Name
Kyle Andrew Kegerreis
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
17 Chipman Way, Kingston, MA 02364-1039
Phone Number
781-585-4100
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2018
Last Update Date
December 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Chipman Way
Kingston, MA 02364-1039
Zip
02364-1039
Phone Number
781-585-4100
Kingston, MA 02364Get directions →

Provider Business Mailing Address Details

Address
12 Ogden St
Providence, RI 02906-4904
City
Providence
State
RI
Zip
02906-4904
Phone Number
615-294-1267

License Information

License Number
4407
License State
MA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Occupational Therapy Assistants near Kingston, MA

View all Occupational Therapy Assistants in Kingston →

Frequently Asked Questions

What is the NPI number of Mr. Kyle A Kegerreis, COTA/L?

The NPI number of Mr. Kyle A Kegerreis, COTA/L is 1073085759. It was assigned on December 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Kyle A Kegerreis, COTA/L?

Mr. Kyle A Kegerreis, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 4407.

Where does Mr. Kyle A Kegerreis, COTA/L practice?

The practice location is 17 Chipman Way, Kingston, MA 02364-1039. The office can be reached at 781-585-4100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073085759 directly on the NPPES registry website.

Browse related providers