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

Mr. John Peter Kelly, OTR/L

Individual provider Occupational Therapist · NPI 1497055008

Mr. John Peter Kelly, OTR/L is an Occupational Therapist in Private Practice in Kings Park, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2003, 23 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
23
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2010
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

21 Dorothy Ln
Kings Park, NY 11754-2932
Phone: (631) 265-3168
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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 014000 (NY)

Record details

NPI number1497055008
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 28, 2010
Last updated in NPPESOctober 28, 2010

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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