Individual provider Active NPI

Karen Ann Kirsch, OTR/L

  • Occupational Therapist
  • South Glens Falls, NY
National Provider Identifier
1851605679
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025599-01 Issued in NY
Practice address
17 Quarry Dr Apt B
South Glens Falls, NY 12803-4234
Phone
(978) 297-2413
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9073 MA
Occupational Therapist 225X00000X 025599-01 NY Primary

Addresses

Primary practice location

17 Quarry Dr Apt B
South Glens Falls, NY 12803-4234

Mailing address

17 Quarry Dr Apt B
South Glens Falls, NY 12803-4234
Phone (978) 297-2413

Other practice location 1

287 Alger St
Winchendon, MA 01475-1821
Phone (978) 297-2413

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

State licenses

LicenseStateTypeSpecialty
9073MAMDOccupational Therapist
025599-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Visions of Independence, LLC Occupational Therapist PastSince May 19, 2004 Accepting new patients

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, 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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1851605679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 QUARRY DR APT B",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034234",
            "telephone_number": "978-297-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 QUARRY DR APT B",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034234",
            "telephone_number": "978-297-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 Alger St",
            "address_purpose": "LOCATION",
            "city": "Winchendon",
            "state": "MA",
            "postal_code": "014751821",
            "country_code": "US",
            "telephone_number": "978-297-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9073",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025599-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.