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

Keith M Van Tassell, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1962648568

Keith M Van Tassell, OTR/L is a Pediatric Occupational Therapist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

243 Demorest Ave
Staten Island, NY 10314-3160
Phone: (718) 447-1414
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 010331-1 (NY)

Record details

NPI number1962648568
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 2, 2009
Last updated in NPPESJanuary 2, 2009

Other providers in Staten Island