Individual provider Active NPI

Klaudia Patryn, OTR/L

  • Occupational Therapist
  • Long Branch, NJ
National Provider Identifier
1558094276
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
10 W End CT
Long Branch, NJ 07740-5172
Phone
(732) 222-2219
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 Primary

Addresses

Primary practice location

10 W End CT
Long Branch, NJ 07740-5172

Mailing address

10 W End CT
Long Branch, NJ 07740-5172
Phone (732) 222-2219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727001617 NJ Practitioner - Occupational Therapist in Private Practice 1951783737 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Healthcare Center of Middletown, LLC CurrentSince Jul 11, 2022 Accepting new patients
Natural Healthcare Center of West End, LLC CurrentSince Jul 11, 2022 Accepting new patients
Coastal Home Rehabilitation, LLC CurrentSince Feb 1, 2023 Accepting new patients
Therastart LLC CurrentSince Feb 6, 2025 Accepting new patients

Locations

10 W End Ct
Long Branch, NJ 07740
Phone (732) 222-2219

9 Leonardville Rd
Middletown, NJ 07748
Phone (732) 671-9005

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1558094276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W END CT",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405172",
            "telephone_number": "732-222-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W END CT",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405172",
            "telephone_number": "732-222-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRYN",
        "first_name": "KLAUDIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.