Active NPI
Kaela Banashefski, M.S. OTR/L
- Occupational Therapist
- Staatsburg, NY
National Provider Identifier
1629408224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018685-1
- Practice address
- 4885 Route 9
Staatsburg, NY 12580-6028 - Phone
- (845) 889-4034
- NPI assigned
- Nov 18, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8960 | NC | |
| Occupational Therapist | 225X00000X | 018685-1 | NY | Primary |
Addresses
Primary practice location
4885 Route 9
Staatsburg, NY 12580-6028
Mailing address
4885 Route 9
P.O. Box 367
Staatsburg, NY 12580-6028
Phone (845) 889-4034
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8960 | NC | MD | Occupational Therapist |
| 018685-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1629408224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4885 ROUTE 9",
"address_2": "P.O. BOX 367",
"city": "STAATSBURG",
"state": "NY",
"postal_code": "125806028",
"telephone_number": "845-889-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4885 ROUTE 9",
"city": "STAATSBURG",
"state": "NY",
"postal_code": "125806028",
"telephone_number": "845-889-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANASHEFSKI",
"first_name": "KAELA",
"credential": "M.S. OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-18",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8960",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018685-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staatsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.