Individual provider Active NPI

Kristen Jean Zola, OTR

  • Pediatric Occupational Therapist
  • Schenectady, NY
National Provider Identifier
1699929398
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
004179-1 Issued in NY
Practice address
517 Bradt St
Schenectady, NY 12306-4029
Phone
(518) 357-0095
Fax
(518) 357-4420
NPI assigned
Nov 7, 2008
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 004179-1 NY Primary

Addresses

Primary practice location

517 Bradt St
Schenectady, NY 12306-4029

Mailing address

52 Corporate Cir
Albany, NY 12203-5176
Phone (518) 456-3268

Other names 1

  • Kristen Pahl Former name

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

State licenses

LicenseStateTypeSpecialty
004179-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1699929398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CORPORATE CIR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035176",
            "telephone_number": "518-456-3268",
            "fax_number": "518-464-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BRADT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123064029",
            "telephone_number": "518-357-0095",
            "fax_number": "518-357-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLA",
        "first_name": "KRISTEN",
        "middle_name": "JEAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "004179-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PAHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.