Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Heretakis, MSOTR/L

Individual provider Occupational Therapist · NPI 1972082360

Kathryn Heretakis, MSOTR/L is an Occupational Therapist in Long Island City, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

28-11 Queens Plz N
Long Island City, NY 11101
Phone: (718) 391-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 022702-1 (NY)

Record details

NPI number1972082360
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedAugust 7, 2018
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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