Provider Demographics
NPI:1013747815
Name:RED BARN OCCUPATIONAL THERAPY, PLLC.
Entity type:Organization
Organization Name:RED BARN OCCUPATIONAL THERAPY, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, HPCS
Authorized Official - Phone:716-998-9169
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:NORTH BOSTON
Mailing Address - State:NY
Mailing Address - Zip Code:14110-0272
Mailing Address - Country:US
Mailing Address - Phone:716-998-9169
Mailing Address - Fax:
Practice Address - Street 1:502 JEWETT HOLMWOOD RD
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2149
Practice Address - Country:US
Practice Address - Phone:716-998-9169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty