Individual provider Active NPI

Kathryn Marie Schledorn, OTR/L

  • Occupational Therapist
  • Fillmore, NY
National Provider Identifier
1790330348
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023823 Issued in NY
Practice address
104 W Main St
Fillmore, NY 14735-8651
Phone
(585) 567-2251
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 023823 NY Primary

Addresses

Primary practice location

104 W Main St
Fillmore, NY 14735-8651

Mailing address

9264 Woodsville Rd
Dansville, NY 14437-9148
Phone (585) 245-4206

Other practice location 1

5871 Groveland Station Rd
Mount Morris, NY 14510-9767
Phone (585) 658-4023

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

LicenseStateTypeSpecialty
023823NYMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County Past Accepting new patients
Fillmore Central School PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1790330348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9264 WOODSVILLE RD",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379148",
            "telephone_number": "585-245-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "FILLMORE",
            "state": "NY",
            "postal_code": "147358651",
            "telephone_number": "585-567-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5871 Groveland Station Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Morris",
            "state": "NY",
            "postal_code": "145109767",
            "country_code": "US",
            "telephone_number": "585-658-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLEDORN",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fillmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.