Active NPI
Kaitlyn Sandra Heath, MS, OTR/L
- Occupational Therapist
- East Syracuse, NY
National Provider Identifier
1891346813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024015
- Practice address
- 303 Roby Ave
East Syracuse, NY 13057-1800 - Phone
- (315) 343-3800
- NPI assigned
- Sep 20, 2019
- 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 | 024015 | NY | Primary |
Addresses
Primary practice location
303 Roby Ave
East Syracuse, NY 13057-1800
Mailing address
2321 Otisco Valley Rd
Marietta, NY 13110-9751
Phone (315) 289-4494
Other practice location 1
205 S Main St
North Syracuse, NY 13212-3105
Phone (315) 218-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024015 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1891346813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 OTISCO VALLEY RD",
"city": "MARIETTA",
"state": "NY",
"postal_code": "131109751",
"telephone_number": "315-289-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 ROBY AVE",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571800",
"telephone_number": "315-343-3800"
}
],
"practiceLocations": [
{
"address_1": "205 S Main St",
"address_purpose": "LOCATION",
"city": "North Syracuse",
"state": "NY",
"postal_code": "132123105",
"country_code": "US",
"telephone_number": "315-218-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATH",
"first_name": "KAITLYN",
"middle_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Syracuse, NY
- Hear 2 Learn
- Hear 2 Learn Audiology and Spe
- Hear 2 Learn PLLC Audiology and Speech/Language Pathology
- Heart Care Center PC
- Heart Mind Mental Health Counseling
- Brittaney Hegard, NP
- Erika M Hegland, DO
- Hematology Oncology Associates of Cny, PC
- Hematology Oncology Associates of Cny,PC
- Hematology-Oncology Associates of Cny, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.