Active NPI
Kasey M Kilmartin, OT
- Occupational Therapist
- Syracuse, NY
National Provider Identifier
1265641682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13540-1
- Practice address
- 1603 Court St
Syracuse, NY 13208-1834 - Phone
- (315) 455-7591
- NPI assigned
- May 22, 2007
- 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 | 13540-1 | NY | Primary |
Addresses
Primary practice location
1603 Court St
Syracuse, NY 13208-1834
Mailing address
5000 Brittonfield Pkwy
East Syracuse, NY 13057-9226
Phone (315) 362-5129
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13540-1 | NY | MD | Occupational Therapist |
| 013540 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265641682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 BRITTONFIELD PKWY",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579226",
"telephone_number": "315-362-5129",
"fax_number": "315-362-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 COURT ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132081834",
"telephone_number": "315-455-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILMARTIN",
"first_name": "KASEY",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "13540-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.