Individual provider Active NPI

Kristin L Smykowski, COTA

  • Occupational Therapy Assistant
  • Cheektowaga, NY
National Provider Identifier
1457515504
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
006713 Issued in NY
Practice address
7 Community Dr
Cheektowaga, NY 14225-2523
Phone
(716) 505-5630
Fax
(716) 505-5558
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 006713 NY Primary

Addresses

Primary practice location

7 Community Dr
Cheektowaga, NY 14225-2523

Mailing address

10496 Alleghany Rd
Darien Center, NY 14040-9702
Phone (716) 560-1741

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

LicenseStateTypeSpecialty
006713NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1457515504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10496 ALLEGHANY RD",
            "city": "DARIEN CENTER",
            "state": "NY",
            "postal_code": "140409702",
            "telephone_number": "716-560-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5630",
            "fax_number": "716-505-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYKOWSKI",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "006713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.