Mackenzie Kristen Ormiston

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

072.0134064 Issued in VT

Practice address

46 Nichols St
Rutland, VT 05701-3275

Phone

(802) 775-2941

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

No

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, last updated by the provider on Feb 27, 2019.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1043777931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AIKEN PL APT 3",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013573",
            "telephone_number": "401-585-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NICHOLS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013275",
            "telephone_number": "802-775-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMISTON",
        "first_name": "MACKENZIE",
        "middle_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0134064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Rutland, VT
• Occupational Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.