Active NPI
Kathleen M Augustine-Farnett
- Occupational Therapist
- East Syracuse, NY
National Provider Identifier
1033402839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003713-1
- Practice address
- 303 Roby Ave
East Syracuse, NY 13057-1800 - Phone
- (315) 434-3830
- Fax
- (315) 434-3831
- NPI assigned
- May 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003713-1 | NY | Primary |
Addresses
Primary practice location
303 Roby Ave
East Syracuse, NY 13057-1800
Mailing address
8227 Royal Scarlet Dr
Baldwinsville, NY 13027-8942
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003713-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1033402839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8227 ROYAL SCARLET DR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130278942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 ROBY AVE",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571800",
"telephone_number": "315-434-3830",
"fax_number": "315-434-3831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE-FARNETT",
"first_name": "KATHLEEN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "003713-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.