Kelly Gannon, OTR/L
NPI 1396975140 · Occupational Therapist · New Hyde Park, NY
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Gannon, OTR/L is a Occupational Therapist provider in New Hyde Park, NY (NPI 1396975140).
Provider details
- NPI number
- 1396975140
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 012458-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2009-07-14
Frequently asked questions
- What is Kelly Gannon's NPI number?
- Kelly Gannon's National Provider Identifier (NPI) is 1396975140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Gannon's specialty?
- Kelly Gannon is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Gannon located?
- Kelly Gannon's practice location on file with NPPES is 501 S 14th St, New Hyde Park, NY 11040-5576.
- What is Kelly Gannon's phone number?
- The practice phone number listed in the NPPES registry for Kelly Gannon is (516) 328-3216.
- Does Kelly Gannon accept Medicare?
- Kelly Gannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Gannon's NPI active?
- Yes — Kelly Gannon's NPI (1396975140) is active in the NPPES registry as of the last update on 2009-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.