Kaelyn Hughes

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

025962 Issued in NY

Practice address

4780 Sabre LN
Manlius, NY 13104-2024

Phone

(231) 409-0932

NPI assigned

Jan 4, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1518628387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIR STE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301387",
            "telephone_number": "513-268-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 SABRE LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042024",
            "telephone_number": "231-409-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KAELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "025962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvence@affinityrehab.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4780 Sabre Ln",
            "city": "Manlius",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131042024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Wells Hill, R.D.H.
• Tyler Wallace Hill, MFT
• Rachel Marie Hodge, COTA
• Caitlin Rae Hollenbeck, MFT TRAINEE
• Jane Macguffie Hudson, M.D.
• Lawrence B Hurwitz, MD
• Kaitlyn Elizabeth Huysman, RPA-C
• Immediate Medical Care of Cny, PC
• Indeed Wellness, LLC (inDeed Wellness)
• J. Christopher Stringer, MD PLLC

• Pediatric Occupational Therapist in Manlius, NY
• Providers in Manlius, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.