Individual provider Active NPI

Robin Yaeger

  • Pediatric Occupational Therapist
  • Lockport, NY
National Provider Identifier
1003064759
Registry record updated Sep 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
003901-1 Issued in NY
Practice address
4773 Beach Ridge Rd
Lockport, NY 14094-9640
Phone
(716) 625-6677
Fax
(716) 625-6677
NPI assigned
Sep 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 003901-1 NY Primary

Addresses

Primary practice location

4773 Beach Ridge Rd
Lockport, NY 14094-9640

Mailing address

5677 S Transit Rd # 318
Lockport, NY 14094-5842
Phone (716) 625-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003901-1NYMDPediatric Occupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220745600000",
    "number": "1003064759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 S TRANSIT RD # 318",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945842",
            "telephone_number": "716-625-4002",
            "fax_number": "716-625-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 BEACH RIDGE RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949640",
            "telephone_number": "716-625-6677",
            "fax_number": "716-625-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAEGER",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-07",
        "last_updated": "2008-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "003901-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.