Active NPI
Isabella Marie Starsiak, OT R/L
- Pediatric Occupational Therapist
- Utica, NY
National Provider Identifier
1205662731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 029448
- Practice address
- 929 York St
Utica, NY 13502-3929 - Phone
- (315) 939-2654
- NPI assigned
- Sep 11, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 029448 | NY | Primary |
Addresses
Primary practice location
929 York St
Utica, NY 13502-3929
Mailing address
5453 Prescott Rd
Utica, NY 13502-2007
Phone (315) 939-2654
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 |
|---|---|---|---|
| 029448 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1205662731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5453 PRESCOTT RD",
"city": "UTICA",
"state": "NY",
"postal_code": "135022007",
"telephone_number": "315-939-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 YORK ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023929",
"telephone_number": "315-939-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARSIAK",
"first_name": "ISABELLA",
"middle_name": "MARIE",
"credential": "OT R/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "029448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.