Active NPI
Kristen Lauren Iannuzzi, M.S. O.T; OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1366986515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020999
- Practice address
- 252 W 29TH St
New York, NY 10001-5271 - Phone
- (973) 934-0634
- NPI assigned
- Dec 7, 2016
- 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 | 020999 | NY | Primary |
Addresses
Primary practice location
252 W 29TH St
New York, NY 10001-5271
Mailing address
228 Rafkind Rd
Bloomingdale, NJ 07403-1556
Phone (973) 934-0634
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 |
|---|---|---|---|
| 020999 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1366986515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 RAFKIND RD",
"city": "BLOOMINGDALE",
"state": "NJ",
"postal_code": "074031556",
"telephone_number": "973-934-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 W 29TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015271",
"telephone_number": "973-934-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNUZZI",
"first_name": "KRISTEN",
"middle_name": "LAUREN",
"credential": "M.S. O.T; OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Ava Patrice Iannitti, LCSW
- Dana Marie Iannizzotto
- Andrew Ferdynand Iannone, MD, PHD
- Julie Iannone, LCSW
- Lawrence Iannotti, LCSW
- Victor P Iannuzzi, PH.D.
- Paul Iappini, LCSW
- Iar Apple Optical, Inc. (Cohen's Fashion Optical)
- Iar Delancey Optical Inc (Cohen's Fashion Optical)
- Deborah Sills Iarussi, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.