Active NPI
Kaitlyn F Brown, OTR/L
- Occupational Therapist
- Bohemia, NY
National Provider Identifier
1780411348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 028488
- Practice address
- 868 Church St Ste 4
Bohemia, NY 11716-5021 - Phone
- (631) 676-4185
- NPI assigned
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 028488 | NY | Primary |
Addresses
Primary practice location
868 Church St Ste 4
Bohemia, NY 11716-5021
Mailing address
5 Firethorne CT
Massapequa, NY 11758-7314
Phone (516) 428-8407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 028488 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East End Occupational Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
868 Church St
Ste 4
Bohemia, NY 11716
Phone (631) 676-4185
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Bohemia, NY
- NPI 1649531567
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1780411348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FIRETHORNE CT",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117587314",
"telephone_number": "516-428-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 CHURCH ST STE 4",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117165021",
"telephone_number": "631-676-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KAITLYN",
"middle_name": "F",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "028488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.