Individual provider Active NPI

Patricia Smolinski, COTA

  • Occupational Therapy Assistant
  • Newburgh, NY
National Provider Identifier
1013172089
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
005215-1 Issued in NY
Practice address
29 Coach LN
Newburgh, NY 12550-3818
Phone
(845) 566-9356
Fax
(845) 566-9356
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 005215-1 NY Primary

Addresses

Primary practice location

29 Coach LN
Newburgh, NY 12550-3818

Mailing address

29 Coach LN
Newburgh, NY 12550-3818
Phone (845) 566-9356

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
005215-1NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1013172089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COACH LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503818",
            "telephone_number": "845-566-9356",
            "fax_number": "845-566-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COACH LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503818",
            "telephone_number": "845-566-9356",
            "fax_number": "845-566-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLINSKI",
        "first_name": "PATRICIA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005215-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.