Individual provider Active NPI

Linda M Kogut, MA OTR

  • Pediatric Occupational Therapist
  • Richmond, VT
National Provider Identifier
1710172671
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
072.0000063 Issued in VT
Practice address
29 Stonefence Rd
Richmond, VT 05477-2202
Phone
(802) 434-4036
Fax
(802) 434-4036
NPI assigned
Sep 12, 2007
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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 072.0000063 VT Primary

Addresses

Primary practice location

29 Stonefence Rd
Richmond, VT 05477-2202

Mailing address

29 Stonefence Rd
Richmond, VT 05477-2202
Phone (802) 434-4036

Other identifiers 1

IdentifierTypeStateIssuer
1750421772OtherVTNPI

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
072.0000063VTMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehabgym Inc Pediatrics PastSince Jun 20, 2005 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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1710172671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 STONEFENCE RD",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054772202",
            "telephone_number": "802-434-4036",
            "fax_number": "802-434-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 STONEFENCE RD",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054772202",
            "telephone_number": "802-434-4036",
            "fax_number": "802-434-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUT",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VT",
            "license": "072.0000063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750421772",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.