Individual provider Active NPI

Kate Mary Maresca, MS, OTR/L

  • Pediatric Occupational Therapist
  • Stuyvesant, NY
National Provider Identifier
1609372374
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
022377 Issued in NY
Practice address
199 Schoolhouse Rd
Stuyvesant, NY 12173-1803
Phone
(518) 755-4793
NPI assigned
Apr 2, 2018
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 022377 NY
Pediatric Occupational Therapist 225XP0200X 022377 NY Primary

Addresses

Primary practice location

199 Schoolhouse Rd
Stuyvesant, NY 12173-1803

Mailing address

PO Box 630
East Greenbush, NY 12061-0630
Phone (518) 233-0544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200904000898 NY Practitioner - Occupational Therapist in Private Practice 7719304757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Link Home Therapy Services of Ny-PT OT SLP PLLCGroup PAC ID 2466704713, 42 clinicians
Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 clinicians

Practice addresses (Care Compare)

108 S Franklin Ave
Suite 10
Valley Stream, NY 11580-6105
Phone (718) 650-6230

2632 Atlantic Ave
Brooklyn, NY 11207-2425
Phone (718) 473-3808

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Jul 15, 2020 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1609372374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120610630",
            "telephone_number": "518-233-0544",
            "fax_number": "518-233-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SCHOOLHOUSE RD",
            "city": "STUYVESANT",
            "state": "NY",
            "postal_code": "121731803",
            "telephone_number": "518-755-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESCA",
        "first_name": "KATE",
        "middle_name": "MARY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022377",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "022377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuyvesant, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.