Individual provider Active NPI

Kristen Anuszewski, OTR/L

  • Occupational Therapist
  • Johnstown, NY
National Provider Identifier
1114289998
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012014-1 Issued in NY
Practice address
2-8 W Main St
Johnstown, NY 12095-2308
Phone
(518) 762-8215
NPI assigned
Jun 8, 2012
Last updated
Jun 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 012014-1 NY Primary

Addresses

Primary practice location

2-8 W Main St
Johnstown, NY 12095-2308

Mailing address

4915 Jockey St
Ballston Spa, NY 12020-2072
Phone (518) 490-1164

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
012014-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1114289998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 JOCKEY ST",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202072",
            "telephone_number": "518-490-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-8 W MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952308",
            "telephone_number": "518-762-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUSZEWSKI",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012014-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.