Kassidy Kubeja, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC017874 Issued in PA

Practice address

4247 W Ridge Rd Ste 104
Erie, PA 16506-1746

Phone

(814) 833-7249

Fax

(814) 838-2661

NPI assigned

Sep 22, 2021

Reactivated

Nov 1, 2024

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

Other names 1

• Kassidy O'Keefe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Allegheny Clinic

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  NPD
• Allegheny Clinic

  • Internal Medicine Physician
  • Murrysville, PA
  • NPI 1124453774
  NPD
• Allegheny Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Saint Vincent Rehab Solutions LLC

  • Physical Therapist
  • Erie, PA
  • NPI 1275514564

  Occupational Therapist

  NPD
• Allegheny Clinic

  • Physical Therapist
  • Wexford, PA
  • NPI 1639579212

  Occupational Therapist

  NPD (past)
• Benchmark Therapy, Inc

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1922553965
  NPD (past)
• Benchmark Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Duncansville, PA
  • NPI 1457365439
  NPD (past)

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1174294086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-833-7249",
            "fax_number": "814-838-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-833-7249",
            "fax_number": "814-838-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 6th St",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "166521518",
            "country_code": "US",
            "telephone_number": "814-506-8212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBEJA",
        "first_name": "KASSIDY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "deactivation_date": "2024-09-23",
        "reactivation_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIDY",
            "last_name": "O'KEEFE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanine Krugger
• Jared D Krugh, DO
• David Kruszewski
• Nicole Krystoff, PA-C
• Julia G Krznaric
• Arlene Ruth Kubit, D.M.D.
• Emily Kucenski, PA-C
• Tyner Kuehn
• Cynthia Kuerner, RDH, PHDHP
• Michelle M Kuhar-Shopene, RPH

• Occupational Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.