KTG OCCUPATIONAL THERAPY PC
NPI 1720025950
Occupational Therapist in Brooklyn, NY

Active since May 31, 2006
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230(718) 998-1415(718) 627-0040 Get Directions Write a Review

NPPES record last updated: July 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ktg Occupational Therapy Pc NPPES

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

KTG OCCUPATIONAL THERAPY PC (NPI 1720025950) is a healthcare organization registered as an occupational therapist in Brooklyn, New York and active in the NPI registry since May 2006. The organization lists Shanna Fogel, Owner, as its authorized official.

NPPES Registry Identity

NPI1720025950
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameKTG OCCUPATIONAL THERAPY PC
Location Address1651 CONEY ISLAND AVEBrooklyn, NY 11230-5849
Mailing Address1651 Coney Island AveBrooklyn, NY 11230-5849 · (718) 998-1415 · Fax (718) 627-0040
Fax(718) 627-0040
Organization SubpartNo
Authorized OfficialShanna FogelOwner · (718) 998-1415
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 3, 2017
✔ NPI 1720025950 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
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.
1651 CONEY ISLAND AVE, Brooklyn, NY 11230

Other Identifiers 1

Medicare PINQRW411NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ktg Occupational Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111219000358Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ktg Occupational Therapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Occupational Therapist in Private Practice
NPI 1821474131
1870 51ST ST APT 2
Brooklyn, NY 11204
(347) 387-4517
✔ Accepts Medicare1.1 mi

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 Ktg Occupational Therapy PC's NPI number?

The NPI number for Ktg Occupational Therapy PC is 1720025950. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Ktg Occupational Therapy PC located?

Ktg Occupational Therapy PC is located at 1651 Coney Island Ave, Brooklyn, NY 11230. The listed phone number is (718) 998-1415.

What is Ktg Occupational Therapy PC's specialty?

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

Is Ktg Occupational Therapy PC enrolled in Medicare?

Yes. Ktg Occupational Therapy PC is registered in the Medicare PECOS enrollment system.

When is Ktg Occupational Therapy PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ktg Occupational Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Ktg Occupational Therapy PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ktg Occupational Therapy PC was last updated on July 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.