Kristine Marie Rudolph

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

003908-1 Issued in NY

Practice address

44 Lower Magic Circle Dr
Goshen, NY 10924-2621

Phone

(845) 294-8137

NPI assigned

Mar 10, 2011

Sex

Female

Sole proprietor

No

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1134427446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LOWER MAGIC CIRCLE DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242621",
            "telephone_number": "845-294-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LOWER MAGIC CIRCLE DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242621",
            "telephone_number": "845-294-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "003908-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Rosenblatt, MD
• David S Rosenfeld, CSWR
• Tina D Ross, D.C.
• Franco Rossi, O.D.
• Cheryl Ann Rourke, CCC-SLP
• Victoria Ruffo
• Ramon B. Ruffy, MD
• Xeriss Joanah Ruffy
• Niomi Lee Ruiz-Jaffe
• Hayley Russo

• Occupational Therapy Assistant in Goshen, NY
• Providers in Goshen, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.