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

Kevin M O'Connell, OTR

Individual provider Occupational Therapist · NPI 1245554971

Kevin M O'Connell, OTR is an Occupational Therapist in Private Practice in Port Jefferson, New York. Qualified in 2010, 16 years ago. Practices with Mass General Brigham Medical Group, Inc, a 140-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

635 Belle Terre Rd Ste 105
Port Jefferson, NY 11777-1935
Phone: (631) 331-3608
Fax: (631) 331-2392
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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 016051-1 (NY)

Record details

NPI number1245554971
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 24, 2010
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mass General Brigham Medical Group, Inc. — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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