Cassadnra Tesoriero-Hicks

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026989 Issued in NY

Practice address

606 Old Route 17
Monticello, NY 12701-7013

Phone

(845) 794-1400

NPI assigned

Sep 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Cassandra Krentz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1003539628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TRACY ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 OLD ROUTE 17",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127017013",
            "telephone_number": "845-794-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORIERO-HICKS",
        "first_name": "CASSADNRA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "KRENTZ",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Synergy of Monticello Inc
• Abebi Taylor, R.N.
• Charles Taylor
• Orley Ann Templeton, OTR/L
• Ashley Mary Ten Eyck, PHARM.D
• The Center for Discovery
• The Center for Discovery
• The Center for Discovery
• The Center for Discovery
• The Center for Discovery Inc

• Occupational Therapist in Monticello, NY
• Providers in Monticello, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.