Kelsey Lynn Mieczkowski

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01097300 Issued in NJ

Practice address

1433 Hooper Ave
Toms River, NJ 08753-2242

Phone

(844) 234-8387

NPI assigned

Nov 29, 2022

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1659081800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 SHIP CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533119",
            "telephone_number": "908-930-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532242",
            "telephone_number": "844-234-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIECZKOWSKI",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01097300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.mieczkowski@bancroft.org",
            "affiliation": "N",
            "endpointDescription": "corporate email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1433 Hooper Ave",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087532242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael P. Rutz, D.M.D., L.L.C.
• Michael Rosen MD PC
• Mihaela Michael, AGACNP
• Floyd N Michel, DC
• Matthew Joseph Michel, MD
• John Leon Migalski, D.M.D.
• Jacob Mikesell
• Kristine Milby, RPH
• Milestones Therapy LLC
• Toniann Patricia Militano, RPH

• Occupational Therapist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.