Active NPI
Lauren Rachael Kanaskie, MS, OTR/L
- Occupational Therapist
- Port Jeff Sta, NY
National Provider Identifier
1205391869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023218
- Practice address
- 299 Hallock Ave
Port Jeff Sta, NY 11776-1217 - Phone
- (631) 473-4284
- NPI assigned
- Feb 7, 2019
- 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 | 023218 | NY | Primary |
Addresses
Primary practice location
299 Hallock Ave
Port Jeff Sta, NY 11776-1217
Mailing address
19 Woodburn St
Patchogue, NY 11772-4129
Phone (610) 850-2689
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023218 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1205391869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WOODBURN ST",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117724129",
"telephone_number": "610-850-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 HALLOCK AVE",
"city": "PORT JEFF STA",
"state": "NY",
"postal_code": "117761217",
"telephone_number": "631-473-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANASKIE",
"first_name": "LAUREN",
"middle_name": "RACHAEL",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-07",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jeff Sta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.