Individual provider Active NPI

Kevin Michael Bielanski, OTD, MED, OTR/L

  • Occupational Therapist
  • Ocean View, DE
National Provider Identifier
1184023285
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0001411 Issued in DE
Practice address
30112 Big Marsh CT Unit 6602
Ocean View, DE 19970-3891
Phone
(908) 752-8210
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X U1-0001411 DE Primary
Occupational Therapist 225X00000X 46TR00599200 NJ
Occupational Therapist 225X00000X 017652 NY
Occupational Therapist 225X00000X OC012563 PA

Addresses

Primary practice location

30112 Big Marsh CT Unit 6602
Ocean View, DE 19970-3891

Mailing address

30112 Big Marsh CT Unit 6602
Ocean View, DE 19970-3891
Phone (908) 752-8210

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
U1-0001411DEMDOccupational Therapist
46TR00599200NJMDOccupational Therapist
OC012563PAMDOccupational Therapist
017652NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1184023285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30112 BIG MARSH CT UNIT 6602",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199703891",
            "telephone_number": "908-752-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30112 BIG MARSH CT UNIT 6602",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199703891",
            "telephone_number": "908-752-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELANSKI",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OTD, MED, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001411",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00599200",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017652",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean View, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.