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KIM HAGSTROM OTR/L
NPI 1730917055
Occupational Therapist - Mental Health in West Brentwood, NY

Active since July 26, 2024PECOS Enrolled
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717(631) 761-2780(631) 761-3103 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Hagstrom Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM HAGSTROM OTR/L (NPI 1730917055) is an individual mental health provider in West Brentwood, New York, licensed in New York (004167-1) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730917055
Entity TypeIndividualFemale
Primary Taxonomy225XM0800X
Provider Legal NameKIM HAGSTROMCredential: OTR/L
Location Address998 CROOKED HILL RDWest Brentwood, NY 11717-1019
Mailing Address998 Crooked Hill RdWest Brentwood, NY 11717-1019 · (631) 761-2780 · Fax (631) 761-3103
Phone(631) 761-2780
Fax(631) 761-3103
Sole ProprietorNo
Enumeration DateJuly 26, 2024
NPPES CertifiedJuly 26, 2024
✔ NPI 1730917055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · Mental HealthRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XM0800X
License✔ Licensed in NY · 004167-1
Definition
Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.
998 CROOKED HILL RD, West Brentwood, NY 11717
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Hagstrom Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NICAURIS FERNANDEZ RN
Registered Nurse (Psychiatric/Mental Health, Adult)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
NANCY ROSENBERG
Registered Nurse (Psychiatric/Mental Health)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
AMALIE ETIENNE RN
Registered Nurse (Psychiatric/Mental Health)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
LAURA SHERELL CURRIE RN
Licensed Practical Nurse
998 CROOKED HILL RD
BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
SERGIO M BERNADIN RN
Registered Nurse
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
DR. MARC MENTIS M.D.
Psychiatry & Neurology (Psychiatry)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3016
MR. MICHAEL DAY FERGUSON LCSW
Social Worker (Clinical)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-2204
KAREN M. O'KEEFE LCSW-R, CASAC
Social Worker (Clinical)
998 CROOKED HILL RD, BUILDING 56
W BRENTWOOD, NY 11717
Suffolk County (631) 761-2177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Hagstrom's NPI number?

The NPI number for Kim Hagstrom is 1730917055. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Where is Kim Hagstrom located?

Kim Hagstrom practices at 998 Crooked Hill Rd, West Brentwood, NY 11717. The listed phone number is (631) 761-2780.

What is Kim Hagstrom's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Mental Health, with taxonomy code 225XM0800X.

Is Kim Hagstrom enrolled in Medicare?

Yes. Kim Hagstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Hagstrom was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.