KEITH KOPPENHOEFER OTR/L
NPI 1154986222
Occupational Therapist in Oakdale, NY

Active since May 04, 2019
115 LINCOLN DR, OAKDALE, NY 11769(631) 327-7339 Get Directions Write a Review

NPPES record last updated: May 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith Koppenhoefer Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH KOPPENHOEFER OTR/L (NPI 1154986222) is an individual occupational therapist in Oakdale, New York, licensed in New York (019258-1) and active in the NPI registry since May 2019. He is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2014).

NPPES Registry Identity

NPI1154986222
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameKEITH KOPPENHOEFERCredential: OTR/L
Location Address115 LINCOLN DROakdale, NY 11769-2133
Mailing Address115 Lincoln DrOakdale, NY 11769-2133 · (631) 327-7339
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2014
Enumeration DateMay 4, 2019
✔ NPI 1154986222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 019258-1
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
115 LINCOLN DR, Oakdale, NY 11769

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Koppenhoefer Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527547280
PECOS Enrollment IDI20260212001387

Medicare Billing Reassignment

Medicare enrollment records show Keith Koppenhoefer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1548 CARL AVE
Holbrook, NY 11741
  • Reassigned Medicare billing, New York enrollment
  • 66 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Koppenhoefer's NPI number?

The NPI number for Keith Koppenhoefer is 1154986222. It was assigned to this individual provider in the NPPES registry on May 4, 2019.

Where is Keith Koppenhoefer located?

Keith Koppenhoefer practices at 115 Lincoln Dr, Oakdale, NY 11769. The listed phone number is (631) 327-7339.

What is Keith Koppenhoefer's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Keith Koppenhoefer enrolled in Medicare?

Yes. Keith Koppenhoefer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Koppenhoefer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Koppenhoefer reassigns Medicare benefits to Medcare Therapy Services:physical, Occupational & Massage Therapy,pllc (Holbrook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Koppenhoefer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Koppenhoefer was last updated on May 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.