Active NPI
Kaili Ets, BHSC., MSC.OT
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1043596240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016989
- Practice address
- 483 Clermont Avenue
3Rd Floor
Brooklyn, NY 11238 - Phone
- (718) 643-5300
- NPI assigned
- Nov 1, 2011
- Last updated
- Dec 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016989 | NY | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 016989 | NY |
Addresses
Primary practice location
483 Clermont Avenue
3Rd Floor
Brooklyn, NY 11238
Mailing address
483 Clermont Avenue
3Rd Floor
Brooklyn, NY 11238
Phone (336) 693-2996
Other names 1
- Ms. Kaili Telmet
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 |
|---|---|---|---|
| 016989 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| League School | Past | Accepting new patients | |
| Carl Fenichel Community Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carl Fenichel Community SVCS Day
- Developmentally Disabled Services Day Training Agency
- Brooklyn, NY
- NPI 1790965655
-
- Local Education Agency (LEA)
- Brooklyn, NY
- NPI 1770771685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1043596240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 CLERMONT AVENUE",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11238",
"telephone_number": "336-693-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 CLERMONT AVENUE",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11238",
"telephone_number": "718-643-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETS",
"first_name": "KAILI",
"name_prefix": "Mrs.",
"credential": "BHSC., MSC.OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016989",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "016989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAILI",
"last_name": "TELMET",
"prefix": "MS.",
"credential": "BHSC., MSC.OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.