Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Alexander Carroll, OTR/L

Individual provider Occupational Therapist · NPI 1306605142

Kevin Alexander Carroll, OTR/L is an Occupational Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
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

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-2103
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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 028715 (NY)

Record details

NPI number1306605142
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 14, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

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