NPIMap

Individual provider Active NPI

Kathryn Alexandra Motsko Kaczor, OTR/L

  • Occupational Therapist
  • Owego, NY
National Provider Identifier
1003201070
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023676-01 Issued in NY
Practice address
1695 Allen Glen Rd
Owego, NY 13827-3433
Phone
(607) 725-7420
Fax
(607) 687-4249
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006858 VA
Occupational Therapist 225X00000X 17027 CA
Occupational Therapist 225X00000X 023676-01 NY Primary

Addresses

Primary practice location

1695 Allen Glen Rd
Owego, NY 13827-3433

Mailing address

123 N Arch St
Johnson City, NY 13790-1427
Phone (607) 239-1817

Other practice location 1

2951 US-281
George West, TX 78022
Phone (361) 449-2532

Other practice location 2

7850 Mission Center Ct Ste 100
San Diego, CA 92108-1323
Phone (619) 578-2232

Other names 1

  • Kathryn Alexandra Motsko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
023676-01NYMDOccupational Therapist
0119006858VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child'S Play Occupational Therapy PastSince Jul 28, 2019 Accepting new patients
Addie'S Autism Fitt Past Accepting new patients
Meghan McNally PastSince Jul 28, 2019 Accepting new patients
Addie'S Autismfitt Club Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1003201070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N ARCH ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901427",
            "telephone_number": "607-239-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 ALLEN GLEN RD",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138273433",
            "telephone_number": "607-725-7420",
            "fax_number": "607-687-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2951 US-281",
            "address_purpose": "LOCATION",
            "city": "George West",
            "state": "TX",
            "postal_code": "78022",
            "country_code": "US",
            "telephone_number": "361-449-2532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7850 Mission Center Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081323",
            "country_code": "US",
            "telephone_number": "619-578-2232",
            "fax_number": "619-578-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZOR",
        "first_name": "KATHRYN",
        "middle_name": "ALEXANDRA MOTSKO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006858",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17027",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023676-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MOTSKO",
            "middle_name": "ALEXANDRA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.