Kaylee Brianna Faherty, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010190 Issued in NY

Practice address

4747 Middle Settlement Rd
New Hartford, NY 13413-4983

Phone

(315) 793-8500

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1649879438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ORISKANY BLVD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134134983",
            "telephone_number": "315-793-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHERTY",
        "first_name": "KAYLEE",
        "middle_name": "BRIANNA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ernst, OT
• Kara R Evans, PT
• Kelsey Claire Evans, RN
• Victoria Evolo
• Eye Q of Cny LLC
• Falcon Group International Corp
• Marissa Falin
• Fidele John Fanelli, RPH
• Toufik P Farkouh, MD
• Terri Faughnan, RDH

• Occupational Therapy Assistant in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.