Kathleen M Dansereau, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

017249 Issued in NY

Practice address

1270 Belmont Ave
Schenectady, NY 12308

Phone

(518) 382-4500

NPI assigned

Mar 7, 2012

Last updated

May 17, 2019By 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

Other names 1

• Kathleen M Connell Former name

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1104190297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BELMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-382-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Rapp Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122034491",
            "country_code": "US",
            "telephone_number": "518-439-4585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANSEREAU",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CONNELL",
            "middle_name": "M",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert J Dachs, MD
• Leticia R. Daconti, M.D.
• Lindsey Michelle Dallos, SP. ED.
• Paul D Damico, CRNA
• Alicia Danny
• Shelbe Danzey
• Brandi Daoust, PT
• Laura A Dapolito, LCSW-R
• Peter S Daratsos, L.C.S.W
• Dorthy Hyacinth Darby

• Occupational Therapist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.