Active NPI
Kristin Ann Gregory, OTR
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1366945131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0-223131
- Practice address
- 540 President St Ste 1E
Brooklyn, NY 11215-1491 - Phone
- (718) 858-0088
- Fax
- (718) 858-1188
- NPI assigned
- Mar 17, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0-223131 | NY | Primary |
Addresses
Primary practice location
540 President St Ste 1E
Brooklyn, NY 11215-1491
Mailing address
75 Prospect Park SW Apt E6
Brooklyn, NY 11215-5998
Phone (718) 877-1420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0-223131 | Other | NY | OT LICENSE |
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 |
|---|---|---|---|
| 0-223131 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366945131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PROSPECT PARK SW APT E6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155998",
"telephone_number": "718-877-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PRESIDENT ST STE 1E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151491",
"telephone_number": "718-858-0088",
"fax_number": "718-858-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "KRISTIN",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0-223131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "0-223131",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.