Active NPI
Kathleen Wurster
- Occupational Therapy Assistant
- Woodbury, NY
National Provider Identifier
1407292717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 008237-1
- Practice address
- 72 S Woods Rd
Woodbury, NY 11797-1024 - Phone
- (516) 921-7650
- NPI assigned
- May 14, 2013
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 008237-1 | NY | Primary |
Addresses
Primary practice location
72 S Woods Rd
Woodbury, NY 11797-1024
Mailing address
240 Farber Dr
West Babylon, NY 11704-5143
Phone (631) 884-0687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008237-1 | Other | NY | OCCUPATIONAL THERAPY ASSISTANT 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 |
|---|---|---|---|
| 008237-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1407292717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 FARBER DR",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117045143",
"telephone_number": "631-884-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 S WOODS RD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971024",
"telephone_number": "516-921-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURSTER",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "008237-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY ASSISTANT LICENSE",
"identifier": "008237-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.