Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Fornito

Individual provider Occupational Therapy Assistant · NPI 1124796552

Jeremy Fornito is an Occupational Therapy Assistant in Kenmore, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

3767 Delaware Ave
Kenmore, NY 14217-1040
Phone: (716) 874-6175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 010850 (NY)

Record details

NPI number1124796552
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

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