Individual provider Active NPI

Kathryn Tietz Burud, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Delhi, NY
National Provider Identifier
1336796580
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
102134-01 Issued in NY
Practice address
1821 Monroe Rd
Delhi, NY 13753-3298
Phone
(607) 938-9111
NPI assigned
Aug 22, 2019
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 102134-01 NY Primary

Addresses

Primary practice location

1821 Monroe Rd
Delhi, NY 13753-3298

Mailing address

1821 Monroe Rd
Delhi, NY 13753-3298
Phone (845) 702-2081

Other names 1

  • Kathryn Grace Tietz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://soap.bassett.org/FHIR/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
102134-01NYMDPhysical Rehabilitation Occupational Therapist

Interoperability endpoints

  • FHIR API: https://soap.bassett.org/FHIR/api/FHIR/DSTU2/

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1336796580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 MONROE RD",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137533298",
            "telephone_number": "845-702-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 MONROE RD",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137533298",
            "telephone_number": "607-938-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURUD",
        "first_name": "KATHRYN",
        "middle_name": "TIETZ",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "102134-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soap.bassett.org/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "Epic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Norton Ave",
            "city": "Oneonta",
            "state": "NY",
            "country_code": "US",
            "postal_code": "138202629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "TIETZ",
            "middle_name": "GRACE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delhi, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.