Active NPI
Kenzie Alisse Hauser, OTR/L
- Occupational Therapist
- Buffalo, NY
National Provider Identifier
1073377016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 031399
- Practice address
- 255 Myron Ave
Buffalo, NY 14217-2440 - Phone
- (716) 874-8656
- NPI assigned
- Feb 9, 2024
- 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 | 031399 | NY | Primary |
| Occupational Therapy Assistant | 224Z00000X | 011482 | NY |
Addresses
Primary practice location
255 Myron Ave
Buffalo, NY 14217-2440
Mailing address
2211 Woodsfield Dr
Lake View, NY 14085-9418
Phone (716) 491-2453
Other practice location 1
236 Grayton Rd
Tonawanda, NY 14150-8620
Phone (716) 874-8416
Other practice location 2
365 DuPont Ave
Tonawanda, NY 14150-7833
Phone (716) 874-8423
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 |
|---|---|---|---|
| 011482 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1073377016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 WOODSFIELD DR",
"city": "LAKE VIEW",
"state": "NY",
"postal_code": "140859418",
"telephone_number": "716-491-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 MYRON AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142172440",
"telephone_number": "716-874-8656"
}
],
"practiceLocations": [
{
"address_1": "236 Grayton Rd",
"address_purpose": "LOCATION",
"city": "Tonawanda",
"state": "NY",
"postal_code": "141508620",
"country_code": "US",
"telephone_number": "716-874-8416",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 DuPont Ave",
"address_purpose": "LOCATION",
"city": "Tonawanda",
"state": "NY",
"postal_code": "141507833",
"country_code": "US",
"telephone_number": "716-874-8423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUSER",
"first_name": "KENZIE",
"middle_name": "ALISSE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "031399",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "011482",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.