Kevin M O'Connell, OTR
Occupational Therapist in Port Jefferson, New York
1245554971- Practice location
- 635 Belle Terre RD, Suite 105, Port Jefferson, NY 11777-1935
- Phone
- 631-331-3608
- Fax
- 631-331-2392
- Last updated
- March 10, 2021
Kevin M O'Connell is an Occupational Therapist based in Port Jefferson, NY. Kevin M O'Connell practices in Port Jefferson, NY and has the professional credentials of OTR. The NPI Number for Kevin M O'Connell is 1245554971 and holds a License No. 016051-1 (NY). The current practice location address for Kevin M O'Connell is 635 Belle Terre RD, Suite 105, Port Jefferson, NY 11777-1935 and can be reached out via phone at 631-331-3608 and via fax at 631-331-2392.
Provider Profile Details
- NPI Number
- 1245554971
- Provider Name
- Kevin M O'Connell
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 635 Belle Terre RD, Suite 105, Port Jefferson, NY 11777-1935
- Phone Number
- 631-331-3608
- Fax Number
- 631-331-2392
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2010
- Last Update Date
- March 10, 2021
- Certification Date
- March 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 635 Belle Terre RD
Suite 105
Port Jefferson, NY 11777-1935 - City
- Port Jefferson
- State
- New York
- Zip
- 11777-1935
- Phone Number
- 631-331-3608
- Fax Number
- 631-331-2392
Provider Business Mailing Address Details
- Address
- 50 Gold Star Blvd
Worcester, MA 01606-2812 - City
- Worcester
- State
- MA
- Zip
- 01606-2812
- Phone Number
- 508-856-9510
License Information
- License Number
- 016051-1
- License State
- NY
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kevin M O'Connell, OTR?
The NPI number of Kevin M O'Connell, OTR is 1245554971. It was assigned on March 24, 2010 and is currently active in the NPPES registry.
What is the specialty of Kevin M O'Connell, OTR?
Kevin M O'Connell, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 016051-1.
Where does Kevin M O'Connell, OTR practice?
The practice location is 635 Belle Terre RD, Suite 105, Port Jefferson, NY 11777-1935. The office can be reached at 631-331-3608 (phone) or 631-331-2392 (fax).
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 1245554971 directly on the NPPES registry website.