Individual provider Active NPI

Karolyn Ruth Kingman, MS, OTR

  • Occupational Therapist
  • Mount Kisco, NY
National Provider Identifier
1871815704
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015191 Issued in NY
Practice address
272 N Bedford Rd
Mount Kisco, NY 10549-1103
Phone
(914) 703-2353
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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 015191 NY Primary

Addresses

Primary practice location

272 N Bedford Rd
Mount Kisco, NY 10549-1103

Mailing address

PO Box 72
Croton on Hudson, NY 10520-0072
Phone (914) 703-2353

Other names 1

  • Karolyn Kingman Sroka Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015191NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1871815704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105200072",
            "telephone_number": "914-703-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 N BEDFORD RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491103",
            "telephone_number": "914-703-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGMAN",
        "first_name": "KAROLYN",
        "middle_name": "RUTH",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROLYN",
            "last_name": "SROKA",
            "middle_name": "KINGMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.