Cassandra Joan Kiechle, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026366-01 Issued in NY

Practice address

149 N Main St
Fairport, NY 14450-1434

Phone

(585) 377-2230

Fax

(585) 377-2243

NPI assigned

Dec 13, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Start Pediatric Services

  • Early Intervention Provider Agency
  • Fairport, NY
  • NPI 1467618231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1437818861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PARRISH ST # 1A-3",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241724",
            "telephone_number": "315-767-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501434",
            "telephone_number": "585-377-2230",
            "fax_number": "585-377-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIECHLE",
        "first_name": "CASSANDRA",
        "middle_name": "JOAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026366-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.",
            "identifier": "464409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
            "identifier": "026366-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie B Kem
• Lisa Kennedy, M.S.
• Christine L. Kershner, OTR/L
• Karlee Kesselring
• Valerie A. Kessler, MA
• Cheryl M Kieffer, DDS
• Michelle Anne Kieper, MS, CCC-SLP
• Olga Kifor, RN
• Mathew David Kilgore, LCSW
• Christina Noel King, L.P.N

• Occupational Therapist in Fairport, NY
• Providers in Fairport, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.