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

Kim Hagstrom, OTR/L

Individual provider Mental Health Occupational Therapist · NPI 1730917055

Kim Hagstrom, OTR/L is a Mental Health Occupational Therapist in West Brentwood, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

998 Crooked Hill Rd
West Brentwood, NY 11717-1019
Phone: (631) 761-2780
Fax: (631) 761-3103
Show map & directions

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

Specialties & licences

Mental Health Occupational Therapist (primary) Taxonomy 225XM0800X · Licence 004167-1 (NY)

Record details

NPI number1730917055
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 26, 2024
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024