Kristen Busch
Individual provider Active NPI Occupational Therapist · Machias, NY
NPI 1225690472 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1225690472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 021169 (NY)
- Practice address
- 9822 Route 16
Machias, NY 14101-9771 - Phone
- (716) 353-8516
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021169 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 021169 | NY | Yes |
Addresses
Primary practice location
9822 Route 16
Machias, NY 14101-9771
Mailing address
8 Hidden TRL
Lancaster, NY 14086-9684
Phone (716) 949-9419
Other providers in Machias, NY
All providers in Machias, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.