Kelly Marie Kwasniuk, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113822 Issued in TX

Practice address

300 Forest Center Drive
Apt 16108
Kingwood, TX 77339-1111

Phone

(810) 923-5151

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1063893790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOREST CENTER DR",
            "address_2": "APT 16108",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395245",
            "telephone_number": "810-923-5151",
            "fax_number": "810-923-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOREST CENTER DRIVE",
            "address_2": "APT 16108",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391111",
            "telephone_number": "810-923-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIUK",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Texas LP (Kroger Pharmacy #359)
• Laura Krouse, DC
• Alexandra Laila Kuck, DO
• Neha Kulkarni, PT
• Nirmal Kumar Kumaradas Antonio, M.D
• Larry Gordon Kyte, D.D.S
• Ton La Jr., MD JD
• Laboratory Corporation of America
• Laboratory Corporation of America
• Ladd Services LLC

• Occupational Therapist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.