Individual provider Active NPI

Kenzie Alisse Hauser, OTR/L

  • Occupational Therapist
  • Buffalo, NY
National Provider Identifier
1073377016
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
031399 Issued in NY
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

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
011482NYMDClinical 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.

Verify at the official NPI Registry.