Ami Kim Isaksson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

008009-1 Issued in NY

Practice address

252 Islip Ave
Islip, NY 11751-3029

Phone

(631) 581-6800

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ami Kim Kuebler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids in Action

  • Early Intervention Provider Agency
  • Islip, NY
  • NPI 1790143311
  NPD (past)
• Kids in Action of L.I. Inc.

  • Specialist
  • Islip, NY
  • NPI 1366596579
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1780729160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 1ST AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802630",
            "telephone_number": "631-553-5570",
            "fax_number": "631-584-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513029",
            "telephone_number": "631-581-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKSSON",
        "first_name": "AMI",
        "middle_name": "KIM",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMI",
            "last_name": "KUEBLER",
            "middle_name": "KIM",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Christine Iannielli
• Keri Imbriale
• Infinity Physical Therapy Service P.C.
• Interstate Physical Therapy & Massage PLLC
• Susan Intravaia
• Island Medical Services PC
• Island Speech Language Pathology, Dina Giancontieri, P.C.
• Islip Dental Associates PC
• Islip Fire District
• Islip Pediatrics PC

• Occupational Therapist in Islip, NY
• Providers in Islip, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.