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

Kenneth Wachstock, MA, OTR/L

Individual provider Occupational Therapist · NPI 1295976231

Kenneth Wachstock, MA, OTR/L is an Occupational Therapist in Hollis, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

19614 Pompeii Ave
Hollis, NY 11423-1418
Phone: (718) 464-0709
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 0121921 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 0121921 (NY)

Record details

NPI number1295976231
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , OTR/L
Sole proprietorYes
NPI enumeratedMarch 22, 2009
Last updated in NPPESMarch 22, 2009

Other providers in Hollis