Padmore Occupational Therapy, P.C.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

0108011 Issued in NY

Legal business name

PADMORE OCCUPATIONAL THERAPY, P.C.

Practice address

61 W Grand St
Ste 0C
Mount Vernon, NY 10552-2133

Phone

(718) 612-6188

Fax

(866) 352-6711

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Jackie Padmore, OTR/L

Title

President

Phone

(718) 612-6188

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1073822722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W GRAND ST",
            "address_2": "STE 0C",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W GRAND ST",
            "address_2": "STE 0C",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522133",
            "telephone_number": "718-612-6188",
            "fax_number": "866-352-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMORE OCCUPATIONAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "PADMORE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-612-6188",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "010811",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "010811",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "0108011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alannah Overton
• Alexandra Aboagye Owusu
• Dorothy Asantewaa Owusu, RN
• Edward Kwaku Owusu, LPN
• Victoria L Oyaniran
• Jackie A Padmore, OTR/L
• Nina Padmore, RN
• Jorge David Pagan Jr., LPN
• Adanna Palmer
• Deidre S Palmer, PHARMD

• Rehabilitation Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.