Active NPI
Molly Bernson
- Occupational Therapist
- Mount Kisco, NY
National Provider Identifier
1619423746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2535
- 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, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3090237 | Medicaid | NH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2535 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Wonders OT PT SLP PLLC | Past | 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.
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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.