Individual provider Active NPI

Laura L Kuzio, MS OTR/L

  • Pediatric Occupational Therapist
  • Wilkes Barre, PA
National Provider Identifier
1568614774
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC010817 Issued in PA
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

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230427000425 PA Practitioner - Occupational Therapist in Private Practice 2769847706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC010817PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Nurtured Development Occupational Therapist CurrentSince Feb 22, 2023 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.

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.

Verify at the official NPI Registry.