Individual provider Active NPI

Hudson Kieltyka Bielecki

  • Occupational Therapy Assistant
  • West Yarmouth, MA
National Provider Identifier
1619692175
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4819 Issued in MA
Practice address
30 Ansel Hallet Rd
West Yarmouth, MA 02673-2556
Phone
(508) 418-5540
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4819 MA Primary

Addresses

Primary practice location

30 Ansel Hallet Rd
West Yarmouth, MA 02673-2556

Mailing address

PO Box 444
Eastham, MA 02642-0444

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

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1619692175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "EASTHAM",
            "state": "MA",
            "postal_code": "026420444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ANSEL HALLET RD",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732556",
            "telephone_number": "508-418-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELECKI",
        "first_name": "HUDSON",
        "middle_name": "KIELTYKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "4819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.