Individual provider Active NPI

Katherine Elizabeth Fry Hedlund, MS, OTR/L

  • Occupational Therapist
  • Millwood, NY
National Provider Identifier
1457618530
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017301 Issued in NY
Practice address
14 Shuman Rd
Millwood, NY 10546
Phone
(914) 941-1991
NPI assigned
Apr 13, 2012
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017301 NY Primary

Addresses

Primary practice location

14 Shuman Rd
Millwood, NY 10546

Mailing address

14 Schuman Rd
Millwood, NY 10546-1111
Phone (914) 941-1991

Other names 1

  • Katherine Elizabeth Fry Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017301NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1457618530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SCHUMAN RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461111",
            "telephone_number": "914-941-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SHUMAN RD",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "10546",
            "telephone_number": "914-941-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDLUND",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH FRY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FRY",
            "middle_name": "ELIZABETH",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.