Individual provider Active NPI

Kami Lessord Golembeski, OTR/L

  • Neurorehabilitation Occupational Therapist
  • Bondville, VT
National Provider Identifier
1568856623
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
072.0000271 Issued in VT
Practice address
522 Vermont Route 30
Bondville, VT 05340-9719
Phone
(802) 353-3810
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 072.0000271 VT Primary

Addresses

Primary practice location

522 Vermont Route 30
Bondville, VT 05340-9719

Mailing address

522 Vermont Route 30
Bondville, VT 05340-9719
Phone (802) 353-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
072.0000271VTMDNeurorehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1568856623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 VERMONT ROUTE 30",
            "city": "BONDVILLE",
            "state": "VT",
            "postal_code": "053409719",
            "telephone_number": "802-353-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 VERMONT ROUTE 30",
            "city": "BONDVILLE",
            "state": "VT",
            "postal_code": "053409719",
            "telephone_number": "802-353-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBESKI",
        "first_name": "KAMI",
        "middle_name": "LESSORD",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "VT",
            "license": "072.0000271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bondville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.