Individual provider Active NPI

Nancy Dukelow, MS OTR/L

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1093352593
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007788 Issued in NY
Practice address
4901 Lac de Ville Blvd Ste 250
Rochester, NY 14618-5649
Phone
(585) 341-9467
NPI assigned
Dec 3, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 007788 NY Primary

Addresses

Primary practice location

4901 Lac de Ville Blvd Ste 250
Rochester, NY 14618-5649

Mailing address

62 Southview Ter
Rochester, NY 14620-3904

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nancy_dukelow@urmc.rochester.edu Direct

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1093352593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SOUTHVIEW TER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LAC DE VILLE BLVD STE 250",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185649",
            "telephone_number": "585-341-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKELOW",
        "first_name": "NANCY",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy_dukelow@urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4901 Lac De Ville Blvd Ste 250",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146185649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.