Ms. Kimberly Cannon Green
OTR/C | Occupational Therapist
102 West Sencea St, Suite 206, Manlius
New York, 13104
315-682-0032 315-682-2715
Maps & DirectionsMs. Kimberly Cannon Green is a Manlius, New York based therapist who is specialized in Occupational Therapy. Active license number of Ms. Kimberly Cannon Green is 006484 for Occupational Therapy in New York. Her current practice location is 102 West Sencea St, Suite 206, Manlius. Patients can reach her at 315-682-0032 or can fax her at 315-682-2715. Ms. Kimberly Cannon Green is OTR/C in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1881702280.
Ms. Kimberly Cannon Green 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.
Complete Profile:
Ms. Kimberly Cannon Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Kimberly Cannon Green |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR/C |
| Practice Address: | 102 West Sencea St, Suite 206, Manlius,
New York, 13104 |
| Phone: | 315-682-0032 |
| Fax: | 315-682-2715 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1881702280 |
| NPI Enumeration Date: | 26 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kimberly Cannon Green are as mentioned below.
| License Number | Specialization | State | Status | |
| 006484 | Occupational Therapy | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kimberly Cannon Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02175313 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Kimberly Cannon Green
102 West Sencea St, Suite 206
Manlius, New York |
| Zip: | 13104 |
| Phone Number: | 315-682-0032 |
| Fax Number: | 315-682-2715 |
Patients can reach Ms. Kimberly Cannon Green at
102 West Sencea St, Suite 206, Manlius, New York or can
call to book an appointment on 315-682-0032.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.