Individual provider Active NPI

Karina Kolodiy, OTR/L

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1285975177
Registry record updated Mar 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017902 Issued in NY
Practice address
3767 Richmond Ave
Staten Island, NY 10312-3827
Phone
(718) 967-0359
NPI assigned
Mar 3, 2013
Last updated
Mar 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017902 NY Primary

Addresses

Primary practice location

3767 Richmond Ave
Staten Island, NY 10312-3827

Mailing address

77 Tarlee PL
Staten Island, NY 10308-3240
Phone (646) 330-2542

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

LicenseStateTypeSpecialty
017902NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Start Speech Pathology and Language PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362268800000",
    "number": "1285975177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 TARLEE PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083240",
            "telephone_number": "646-330-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123827",
            "telephone_number": "718-967-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODIY",
        "first_name": "KARINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-03",
        "last_updated": "2013-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.