Individual provider Active NPI

Kaitlyn Zielasko

  • Occupational Therapist
  • Lake Worth, FL
National Provider Identifier
1962789925
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
6613 Paul Mar Dr
Lake Worth, FL 33462-3939
Phone
(516) 661-3709
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 Primary

Addresses

Primary practice location

6613 Paul Mar Dr
Lake Worth, FL 33462-3939

Mailing address

8395 154TH CT N
West Palm Beach, FL 33418-7368
Phone (516) 661-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000610 FL Practitioner - Occupational Therapist in Private Practice 3678730306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2430 County Rd 210 W B
Rehab in Motion Blake at St.
St Johns, FL 32259-2451
Phone (904) 717-7782

38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Phone (813) 779-3780

9070 SW 80TH Ave
Ocala, FL 34481-8905
Phone (352) 509-4033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Movement Therapy Center-Boynton Beach Inc Occupational Therapist CurrentSince Nov 5, 2011 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Feb 14, 2022 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Jan 19, 2026 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Jan 19, 2026 Accepting new patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince Feb 14, 2022 Accepting new patients
Rehab in Motion, LLC Occupational Therapist Past Accepting new patients
Neuroscience Consultants LLP PastSince Sep 10, 2020 Accepting new patients

Locations

10605 S Jog Rd
Boynton Beach, FL 33437
Phone (561) 413-6807

12040 S Jog Rd
Ste 8
Boynton Beach, FL 33437
Phone (561) 733-5083

12040 S Jog Rd
Ste 7
Boynton Beach, FL 33437
Phone (561) 733-5083

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1962789925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 154TH CT N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334187368",
            "telephone_number": "516-661-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 PAUL MAR DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334623939",
            "telephone_number": "516-661-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELASKO",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.