Jamie Kostrzebski, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004669A Issued in IN

Practice address

4011 Gateway Blvd
Newburgh, IN 47630-8947

Phone

(812) 858-2130

NPI assigned

May 29, 2009

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1720214166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-858-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRZEBSKI",
        "first_name": "JAMIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004669A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey A Koester, PHARM D
• Taylor Jean Koester, FNP-C
• Miranda J Kolley, MSOTR/L CLT
• Kelly M Kopatich, LCSW
• Stephen Mark Kopta, PH.D.
• Katherine Elizabeth Kote, APN, MSN, NNP-BC
• Mary Elizabeth Copeland Kozak, DO
• Paul Kozak, DO
• Camarin Jo Kraemer, BCBA
• Shellie Delane Krantz

• Occupational Therapist in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.