Active NPI
Kathryn Ann Wiley, OT
- Occupational Therapist
- Penn Yan, NY
National Provider Identifier
1215122957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 007167-1
- Practice address
- 893 Davy Rd
Penn Yan, NY 14527-9644 - Phone
- (315) 536-9564
- NPI assigned
- Sep 6, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 007167-1 | NY | Primary |
Addresses
Primary practice location
893 Davy Rd
Penn Yan, NY 14527-9644
Mailing address
893 Davy Rd
Penn Yan, NY 14527-9644
Phone (315) 536-9564
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295049600000",
"number": "1215122957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 DAVY RD",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145279644",
"telephone_number": "315-536-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "893 DAVY RD",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145279644",
"telephone_number": "315-536-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2011-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "007167-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.