Kim Hagstrom, OTR/L - Occupational Therapist in West Brentwood, NY

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Kim Hagstrom, OTR/L is a Occupational Therapist - Mental Health based in West Brentwood, New York. Kim Hagstrom is licensed to practice in New York (license number 004167-1) and her current practice location is 998 Crooked Hill Rd, West Brentwood, New York. She can be reached at her office (for appointments etc.) via phone at (631) 761-2780.

NPI number for Kim Hagstrom is 1730917055 and her current mailing address is 998 Crooked Hill Rd, West Brentwood, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730917055.

Contact Information

Kim Hagstrom, OTR/L
998 Crooked Hill Rd,
West Brentwood, NY 11717-1019
(631) 761-2780
(631) 761-3103

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Healthcare Provider's Profile

Full NameKim Hagstrom
GenderFemale
SpecialityOccupational Therapist - Mental Health
Location998 Crooked Hill Rd, West Brentwood, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730917055
  • Provider Enumeration Date: 07/26/2024
  • Last Update Date: 07/26/2024

Medical Identifiers

Medical identifiers for Kim Hagstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730917055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XM0800XOccupational Therapist - Mental Health 004167-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Hagstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Hagstrom, OTR/L
998 Crooked Hill Rd,
West Brentwood, NY 11717-1019

Ph: (631) 761-2780		Kim Hagstrom, OTR/L
998 Crooked Hill Rd,
West Brentwood, NY 11717-1019

Ph: (631) 761-2780

Reviews and Comments


Occupational Therapist in West Brentwood, NY


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