Active NPI
Kristin Jablonski
- Occupational Therapist
- Dudley, MA
National Provider Identifier
1790207264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10885
- Practice address
- 10 Barry Ave
Dudley, MA 01571-5831 - Phone
- (508) 864-1343
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 10885 | MA | Primary |
Addresses
Primary practice location
10 Barry Ave
Dudley, MA 01571-5831
Mailing address
10 Barry Ave
Dudley, MA 01571-5831
Other names 1
- Kristin G Brezenski
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1790207264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BARRY AVE",
"city": "DUDLEY",
"state": "MA",
"postal_code": "015715831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BARRY AVE",
"city": "DUDLEY",
"state": "MA",
"postal_code": "015715831",
"telephone_number": "508-864-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "BREZENSKI",
"middle_name": "G",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dudley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.