Individual provider Active NPI

Karen Patrice Cassidy-Fritz, MS, OTR-L

  • Occupational Therapist
  • Commack, NY
National Provider Identifier
1659414928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
005174-1 Issued in NY
Practice address
29 Pinewood Dr
Commack, NY 11725-5612
Phone
(631) 499-1237
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 005174-1 NY Primary

Addresses

Primary practice location

29 Pinewood Dr
Commack, NY 11725-5612

Mailing address

7 Pickering PL
Dix Hills, NY 11746-5510
Phone (631) 462-4480

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
005174-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Developmental Pre-School Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659414928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PICKERING PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465510",
            "telephone_number": "631-462-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PINEWOOD DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255612",
            "telephone_number": "631-499-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY-FRITZ",
        "first_name": "KAREN",
        "middle_name": "PATRICE",
        "credential": "MS, OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005174-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.