Active NPI
Kristen Ann Cartledge, OTR/L
- Pediatric Occupational Therapist
- Brewster, NY
National Provider Identifier
1356833545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 022401-1
- Practice address
- 6 Tanager Rd
Brewster, NY 10509-1030 - Phone
- (845) 519-0971
- NPI assigned
- Jun 4, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 022401-1 | NY | Primary |
Addresses
Primary practice location
6 Tanager Rd
Brewster, NY 10509-1030
Mailing address
6 Tanager Rd
Brewster, NY 10509-1030
Phone (845) 519-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00096023 | Other | NY | CDPHP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022401-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1356833545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TANAGER RD",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105091030",
"telephone_number": "845-519-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TANAGER RD",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105091030",
"telephone_number": "845-519-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTLEDGE",
"first_name": "KRISTEN",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "022401-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "00096023",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.