Kristin Goliszek, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

017203 Issued in NY

Practice address

777 Maryvale Dr
Cheektowaga, NY 14225-2712

Phone

(716) 677-9515

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin McKillen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1306118203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MARYVALE DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252712",
            "telephone_number": "716-677-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 MARYVALE DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252712",
            "telephone_number": "716-677-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLISZEK",
        "first_name": "KRISTIN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "017203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MCKILLEN",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlene Gmerek
• Nicole M Golding
• Goldstein Dental
• Marcia Helen Goldstein, RPH
• Ryan B Goldstein, D.D.S
• Melissa Golombek
• Melissa Golpl
• Jacquelyn Marie Gonka-Griffo, MD
• Eugene Anthony Gonsiorek, PT, PHD
• Jacquelyn L Gonzalez, LPN, CPHT

• Pediatric Occupational Therapist in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.