Active NPI
Kristina Kakuriyeva, OTR/L
- Occupational Therapist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024330
- Practice address
- 475 Northern Blvd Ste 19
Great Neck, NY 11021-4802 - Phone
- (516) 829-0030
- Fax
- (516) 466-7723
- NPI assigned
- Dec 18, 2019
- 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 | 024330 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd Ste 19
Great Neck, NY 11021-4802
Mailing address
8614 Somerset St
Jamaica, NY 11432-2315
Phone (917) 291-3332
Other practice location 1
8614 Somerset St
Jamaica, NY 11432-2315
Phone (917) 291-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Ayrault Rd
Fairport, NY 14450-2865
Phone (585) 653-7697
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Care Physical and Occupational Therapy PLLC | Current | Accepting new patients | |
| Onr National Speech Pathology Inc | Current | Accepting new patients | |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Current | Accepting new patients | |
| Reddy Care Physical Therapy PC | Past | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
475 Northern Blvd
Ste 19
Great Neck, NY 11021
Phone (516) 344-0023
475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023
475 Northern Blvd
Ste 27
Great Neck, NY 11021
100 Peninsula Blvd
Lynbrook, NY 11563
Phone (516) 596-2700
108 S Franklin Ave
Ste 10
Valley Stream, NY 11580
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1942782966
-
- Specialist
- Great Neck, NY
- NPI 1477052967
-
- Specialist
- Great Neck, NY
- NPI 1932171097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1629616834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 SOMERSET ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322315",
"telephone_number": "917-291-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 19",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
}
],
"practiceLocations": [
{
"address_1": "8614 Somerset St",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114322315",
"country_code": "US",
"telephone_number": "917-291-3332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAKURIYEVA",
"first_name": "KRISTINA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.