Active NPI
Katrina L Guzzetti, OTR/L
- Occupational Therapist
- Marlton, NJ
National Provider Identifier
1922318674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR001714000
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR001714000 | NJ | MD | Occupational Therapist |
| 46TR00171400 | NJ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KLG Pediatric Therapy, LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Marlton, NJ
- NPI 1083914204
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.