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

Keith Koppenhoefer, OTR/L

Individual provider Occupational Therapist · NPI 1154986222

Keith Koppenhoefer, OTR/L is an Occupational Therapist in Private Practice in Oakdale, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2014, 12 years ago. Licensed in New York.

Years since qualifying
12
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NY
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

115 Lincoln Dr
Oakdale, NY 11769-2133
Phone: (631) 327-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 019258-1 (NY)

Record details

NPI number1154986222
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 4, 2019
Last updated in NPPESMay 4, 2019
Mailing address115 Lincoln Dr, Oakdale, NY 11769-2133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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