Individual provider Active NPI

Kristen E Defayette, MS OTR/L

  • Occupational Therapist
  • Plattsburgh, NY
National Provider Identifier
1902139777
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015783 Issued in NY
Practice address
185 Margaret St
Suite 1000
Plattsburgh, NY 12901-1837
Phone
(518) 561-6361
Fax
(518) 561-6367
NPI assigned
Sep 11, 2009
Last updated
Sep 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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 015783 NY Primary

Addresses

Primary practice location

185 Margaret St
Suite 1000
Plattsburgh, NY 12901-1837

Mailing address

185 Margaret St
Suite 1000
Plattsburgh, NY 12901-1837
Phone (518) 561-6361

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

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1902139777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MARGARET ST",
            "address_2": "SUITE 1000",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011837",
            "telephone_number": "518-561-6361",
            "fax_number": "518-561-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MARGARET ST",
            "address_2": "SUITE 1000",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011837",
            "telephone_number": "518-561-6361",
            "fax_number": "518-561-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFAYETTE",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.