Individual provider Active NPI

Marina Kavesteen, M.S. OTR/L

  • Occupational Therapist
  • Commack, NY
National Provider Identifier
1689829392
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010752-1 Issued in NY
Practice address
29 Pinewood Dr
Commack, NY 11725-5612
Phone
(631) 499-1237
Fax
(631) 499-1074
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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 010752-1 NY Primary

Addresses

Primary practice location

29 Pinewood Dr
Commack, NY 11725-5612

Mailing address

29 Pinewood Dr
Commack, NY 11725-5612
Phone (631) 499-1237

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
010752-1NYMDOccupational Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1689829392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PINEWOOD DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255612",
            "telephone_number": "631-499-1237",
            "fax_number": "631-499-1074"
        },
        {
            "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",
            "fax_number": "631-499-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVESTEEN",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010752-1",
            "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 Nov 21, 2008; 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.