Individual provider Active NPI

Kathleen M Malone, MSOTR

  • Occupational Therapist
  • Baldwinsville, NY
National Provider Identifier
1023411253
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
8395 Oswego Rd
Baldwinsville, NY 13027-6801
Phone
(316) 450-4898
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

8395 Oswego Rd
Baldwinsville, NY 13027-6801

Mailing address

273 Norwood Ave
Syracuse, NY 13206-1612
Phone (315) 263-3021

Other practice location 1

813 Fay Rd
Syracuse, NY 13219-3009
Phone (315) 488-2951 ext. 744

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

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1023411253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 NORWOOD AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061612",
            "telephone_number": "315-263-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 OSWEGO RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130276801",
            "telephone_number": "316-450-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Fay Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132193009",
            "country_code": "US",
            "telephone_number": "315-488-2951 x744",
            "fax_number": "315-468-6194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MSOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2021-08-16",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.