Active NPI
Kathryn Tietz Burud, OTR/L
- Physical Rehabilitation Occupational Therapist
- Delhi, NY
National Provider Identifier
1336796580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 102134-01
- Practice address
- 1821 Monroe Rd
Delhi, NY 13753-3298 - Phone
- (607) 938-9111
- NPI assigned
- Aug 22, 2019
- Last updated
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 102134-01 | NY | MD | Physical Rehabilitation Occupational Therapist |
Interoperability endpoints
- 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.