Active NPI
Kathleen Marie Esbensen, MT-BC
- Music Therapist
- Havertown, PA
National Provider Identifier
1962794834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 09776
- Practice address
- 412 E Eagle Rd
Havertown, PA 19083-1635 - Phone
- (610) 449-9669
- Fax
- (610) 449-5566
- NPI assigned
- May 10, 2011
- Last updated
- May 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 09776 | PA | Primary |
Addresses
Primary practice location
412 E Eagle Rd
Havertown, PA 19083-1635
Mailing address
240 Old Mill Rd
Royersford, PA 19468-2703
Phone (610) 792-0778
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 |
|---|---|---|---|
| 09776 | PA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1962794834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 OLD MILL RD",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194682703",
"telephone_number": "610-792-0778",
"fax_number": "610-449-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E EAGLE RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190831635",
"telephone_number": "610-449-9669",
"fax_number": "610-449-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESBENSEN",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "PA",
"license": "09776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.