Individual provider Active NPI

Molly Bernson

  • Occupational Therapist
  • Mount Kisco, NY
National Provider Identifier
1619423746
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2535 Issued in NH
Practice address
101 S Bedford Rd Ste 404
Mount Kisco, NY 10549-3455
Phone
(914) 421-8270
NPI assigned
Aug 29, 2016
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 2535 NH Primary

Addresses

Primary practice location

101 S Bedford Rd Ste 404
Mount Kisco, NY 10549-3455

Mailing address

101 S Bedford Rd Ste 404
Mount Kisco, NY 10549-3455

Other practice location 1

20 Industrial Park Dr
Nashua, NH 03062-3178
Phone (603) 882-4500

Other identifiers 1

IdentifierTypeStateIssuer
3090237MedicaidNH

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
2535NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Wonders OT PT SLP PLLC PastSince Nov 5, 2023 Accepting new patients

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, 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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1619423746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD STE 404",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD STE 404",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493455",
            "telephone_number": "914-421-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Industrial Park Dr",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030623178",
            "country_code": "US",
            "telephone_number": "603-882-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNSON",
        "first_name": "MOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090237",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.