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

Meagan Kimberly Gementiza Kannenberg

Individual provider Occupational Therapist · NPI 1427879170

Meagan Kimberly Gementiza Kannenberg is registered under Occupational Therapist in Private Practice in New York, New York. Qualified in 2024, 2 years ago. Practices with Functional Movement Therapeutics LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

333 Seventh Ave Ny Ny
New York, NY 10001
Phone: (917) 415-9310
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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 029561 (NY)

Record details

NPI number1427879170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Functional Movement Therapeutics Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Functional Movement Therapeutics LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 5 clinicians in the practice; 2 are shown here.

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