Individual provider Active NPI

Katrina L Guzzetti, OTR/L

  • Occupational Therapist
  • Marlton, NJ
National Provider Identifier
1922318674
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR001714000 Issued in NJ
Practice address
851 Route 73 N Ste C
Marlton, NJ 08053-1275
Phone
(856) 872-2067
Fax
(877) 275-5941
NPI assigned
Oct 15, 2010
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 46TR001714000 NJ Primary
Pediatric Occupational Therapist 225XP0200X 46TR00171400 NJ

Addresses

Primary practice location

851 Route 73 N Ste C
Marlton, NJ 08053-1275

Mailing address

22 Pelham Dr
West Deptford, NJ 08051-1737
Phone (609) 254-2416

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
46TR001714000NJMDOccupational Therapist
46TR00171400NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KLG Pediatric Therapy, LLC Occupational Therapist CurrentSince Feb 4, 2024 Accepting new patients

Locations

1919 Greentree Rd
Ste C
Cherry Hill, NJ 08003
Phone (856) 751-1937

851 Route 73 N
Ste C
Marlton, NJ 08053
Phone (856) 872-2067

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1922318674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PELHAM DR",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080511737",
            "telephone_number": "609-254-2416",
            "fax_number": "877-275-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 ROUTE 73 N STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531275",
            "telephone_number": "856-872-2067",
            "fax_number": "877-275-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZZETTI",
        "first_name": "KATRINA",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR001714000",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00171400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.