Michelle Lee Kiernozek, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

017347 Issued in NY

Practice address

623 New Loudon Rd
Latham, NY 12110-4031

Phone

(518) 782-1178

NPI assigned

Feb 5, 2013

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

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1790024156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 NEW LOUDON ROAD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "121102602",
            "telephone_number": "518-782-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104031",
            "telephone_number": "518-782-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNOZEK",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul S. Khan, MD
• Dastagir Alam Khan, MD
• Saad Khan, D.O
• Tania A. Khan, PHD
• Audrey M. Kiernan, CRNA
• Jennifer Lynn Kilinski, MT-BC, NICU-MT, LCAT
• Kyle Erick Kilts, LCSW-R
• Myung Hyo Kim, MD
• Kimberly a. Hostig Licensed Clinical Social Worker PLLC
• Pamela King-Hall

• Occupational Therapist in Latham, NY
• Providers in Latham, 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 Dec 27, 2013; 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.