Active NPI
Kristen Byrne, OTR/L
- Occupational Therapist
- Hauppauge, NY
National Provider Identifier
1083381255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025899
- Practice address
- 1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046 - Phone
- (631) 366-3876
- NPI assigned
- Aug 25, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025899 | NY | Primary |
Addresses
Primary practice location
1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046
Mailing address
10 Sutton CT
West Islip, NY 11795-3016
Phone (631) 827-9990
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 |
|---|---|---|---|
| 025899 | NY | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1083381255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SUTTON CT",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953016",
"telephone_number": "631-827-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 VETERANS MEMORIAL HWY STE 8",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883046",
"telephone_number": "631-366-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "KRISTEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.