KEITH KOPPENHOEFER OTR/L
NPI 1154986222
Occupational Therapist in Oakdale, NY
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
Specialties & Licenses
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).
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.
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.