Cynthia Lynn Kaczmarczyk

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000478 Issued in CT

Practice address

71 Haynes St
Manchester, CT 06040-4131

Phone

(860) 647-6800

Fax

(860) 872-5061

NPI assigned

Jul 6, 2020

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

State licenses

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1104443274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WELLINGTON WAY",
            "city": "AMSTON",
            "state": "CT",
            "postal_code": "062311645",
            "telephone_number": "860-931-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-647-6800",
            "fax_number": "860-872-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMARCZYK",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Judkins
• Peter H. Judson, M.D.
• Marnie Jump
• Jae Yong Jung
• Just Therapy, LLC
• Barbara Kage, MD
• Reinhard Karl Kage, MD
• Harvey Allen Kahaner, M.D.
• Raymond Charles Kaiser, PA
• Taylor Alyssa Kalomeris, DO

• Occupational Therapist in Manchester, CT
• Providers in Manchester, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.