Kelly Gibson Bateman

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

006822 Issued in NY

Practice address

275 Parrish St
Suite a
Canandaigua, NY 14424-1785

Phone

(585) 393-0554

NPI assigned

Aug 15, 2008

Last updated

Aug 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Building Blocks Comprehensive Services, Inc.

  • Early Intervention Provider Agency
  • Canandaigua, NY
  • NPI 1841439528
  NPD (past) Authorized official
• Building Blocks Comprehensive Services,Inc

  • Early Intervention Provider Agency
  • Canandaigua, NY
  • NPI 1700111234
  Authorized official Same address or phone

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1962658468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 COUNTY ROAD 18",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248131",
            "telephone_number": "585-394-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PARRISH ST",
            "address_2": "SUITE A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241785",
            "telephone_number": "585-393-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "KELLY",
        "middle_name": "GIBSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Barrett, LPC, LMHC
• David W. Barszewski, LCSW-R; CASAC
• Kristine A Barszewski, LCSW-R
• Gregory Allen Bartholomew
• Patrick Jeffrey Bastow, D.D.S
• David Emil Baum, M.D.
• Barbara S Bayley, BA, CASAC
• Geraldine Marie Beach, R.N.
• Theresa Marie Beach, LCSW R
• Christine Moore Beckingham, LMSW

• Pediatric Occupational Therapist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.