Active NPI
Kathleen Graser
- Occupational Therapist
- East Syracuse, NY
National Provider Identifier
1154919660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029881
- Practice address
- 6723 Towpath Rd
East Syracuse, NY 13057-9506 - Phone
- (315) 425-1004
- NPI assigned
- Jan 10, 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 | 029881 | NY | Primary |
Addresses
Primary practice location
6723 Towpath Rd
East Syracuse, NY 13057-9506
Mailing address
4967 Manor Hill Dr
Syracuse, NY 13215-1320
Phone (315) 399-3022
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 |
|---|---|---|---|
| 13675 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Kidz Therapy, LLC | Current | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1871125997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1154919660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 MANOR HILL DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132151320",
"telephone_number": "315-399-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 TOWPATH RD",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579506",
"telephone_number": "315-425-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASER",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-10",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.