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

Ken Nelson

Individual provider Recreation Therapist · NPI 1164887659

Ken Nelson is a Recreation Therapist in Brentwood, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

998 Crooked Hill Rd
Brentwood, NY 11717-1019
Phone: (631) 761-2864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 1578627785 (NY)

Record details

NPI number1164887659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2015
Last updated in NPPESDecember 28, 2015