Individual provider Active NPI

Kimberly Puffer Wranovics, OTR/L

  • Occupational Therapist
  • Rhinebeck, NY
National Provider Identifier
1851885982
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015125-1 Issued in NY
Practice address
6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone
(845) 871-3427
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 015125-1 NY Primary

Addresses

Primary practice location

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

Mailing address

6511 Spring Brook Ave FL 1
Rhinebeck, NY 12572-3709
Phone (845) 871-3427

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
015125-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1851885982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE FL 1",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-871-3427",
            "fax_number": "845-871-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-871-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRANOVICS",
        "first_name": "KIMBERLY",
        "middle_name": "PUFFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015125-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.