Individual provider Active NPI

Denise J Clark-Voelker, OT

  • Occupational Therapist
  • Depew, NY
National Provider Identifier
1013224567
Registry record updated Sep 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012792-1 Issued in NY
Practice address
6301 Transit Rd
Depew, NY 14043-1051
Phone
(716) 684-0400
Fax
(716) 683-2428
NPI assigned
Sep 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 012792-1 NY Primary

Addresses

Primary practice location

6301 Transit Rd
Depew, NY 14043-1051

Mailing address

9601 Martin Rd
Clarence Center, NY 14032-9792
Phone (716) 864-1947

Other names 1

  • Denise Erlenback Former name

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
012792-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Physical and Occupational Therapy Group PLLC Occupational Therapist PastSince Jan 1, 1999 Accepting new patients
Western New York PT Group PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283558400000",
    "number": "1013224567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 MARTIN RD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329792",
            "telephone_number": "716-864-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431051",
            "telephone_number": "716-684-0400",
            "fax_number": "716-683-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-VOELKER",
        "first_name": "DENISE",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012792-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ERLENBACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2010; 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.