Kaitlyn Nicole Rybacki

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00877400 Issued in NJ

Practice address

212 Marter Ave
Moorestown, NJ 08057-3114

Phone

(856) 291-4733

NPI assigned

Aug 30, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1467000620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MAPLE AVE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080041406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114",
            "telephone_number": "856-291-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBACKI",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00877400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Ruff, LAC
• Allison L Rupert, LPC
• Donna M Rush-Esmail, DMD
• Ralph E Russo III, M.D.
• Ruth a Wright
• Janine M Saia, LCSW
• Lori Saiia, ACSM-CEP
• Zoe Wilson Salman, MD
• Elizabeth Sanfilippo, CNTP
• James Arthur Sanfilippo, MD

• Occupational Therapist in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.