Active NPI
Katsiaryna Kutsevol
- Developmental Therapist
- Rego Park, NY
National Provider Identifier
1174437966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 3516736
- Practice address
- 6416 Wetherole St
Rego Park, NY 11374-3043 - Phone
- (347) 318-8668
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 3516736 | NY | Primary |
Addresses
Primary practice location
6416 Wetherole St
Rego Park, NY 11374-3043
Mailing address
763 Saint Anns Ave Apt D
Bronx, NY 10456-7675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1174437966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 SAINT ANNS AVE APT D",
"city": "BRONX",
"state": "NY",
"postal_code": "104567675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6416 WETHEROLE ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743043",
"telephone_number": "347-318-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTSEVOL",
"first_name": "KATSIARYNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NY",
"license": "3516736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.