Kelsey Sueann Hartman

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP010041 Issued in PA

Practice address

311 Wyoming Ave
Wyoming, PA 18644-1620

Phone

(570) 336-0309

NPI assigned

Jan 23, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Well-Nurtured Development

  • Pediatric Occupational Therapist
  • Kingston, PA
  • NPI 1952994659

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1689436941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186120241",
            "telephone_number": "570-336-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441620",
            "telephone_number": "570-336-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KELSEY",
        "middle_name": "SUEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP010041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Susan Gatto, LCSW
• Jessica Gibbon
• Judy Goldman, LCSW
• Greg T. Evans DPM PC
• Kelsey Elizabeth Harth
• Hilary Hazus, L.M.T.
• Mark Anthony Hilinski, DMD
• Karen M Johns, LCSW
• Charles A. Karcutskie, DMD
• Carolyn Karosa, CCC,SLP

• Occupational Therapy Assistant in Wyoming, PA
• Providers in Wyoming, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.