Active NPI
Laura L Kuzio, MS OTR/L
- Pediatric Occupational Therapist
- Wilkes Barre, PA
National Provider Identifier
1568614774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC010817
- Practice address
- 150 Mundy St
Wilkes Barre, PA 18702-6830 - Phone
- (570) 826-3749
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OC010817 | PA | Primary |
| Occupational Therapist | 225X00000X | OC010817 | PA |
Addresses
Primary practice location
150 Mundy St
Wilkes Barre, PA 18702-6830
Mailing address
10 Foster Ave
Harveys Lake, PA 18618-7796
Phone (570) 885-1504
Other practice location 1
311 Wyoming Ave
Wyoming, PA 18644-1620
Phone (570) 336-0309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC010817 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well-Nurtured Development | Occupational Therapist | Current | Accepting new patients |
Locations
301 Lake St
Dallas, PA 18612
Phone (570) 674-6954
960 Wyoming Ave
Forty Fort, PA 18704
Phone (570) 287-8887
311 Wyoming Ave
Wyoming, PA 18644
Phone (570) 336-0309
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Kingston, PA
- NPI 1952994659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1568614774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FOSTER AVE",
"city": "HARVEYS LAKE",
"state": "PA",
"postal_code": "186187796",
"telephone_number": "570-885-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUNDY ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187026830",
"telephone_number": "570-826-3749"
}
],
"practiceLocations": [
{
"address_1": "311 Wyoming Ave",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "PA",
"postal_code": "186441620",
"country_code": "US",
"telephone_number": "570-336-0309",
"fax_number": "272-207-2774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUZIO",
"first_name": "LAURA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PA",
"license": "OC010817",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC010817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.