Active NPI
Katelyn Boyle, OTR/L
- Occupational Therapist
- Argyle, NY
National Provider Identifier
1104515592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026590-01
- Practice address
- 4573 State Route 40
Argyle, NY 12809-3474 - Phone
- (518) 638-8274
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 026590-01 | NY | Primary |
Addresses
Primary practice location
4573 State Route 40
Argyle, NY 12809-3474
Mailing address
28 Quincy LN
Queensbury, NY 12804-8348
Phone (518) 260-3628
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026590-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1104515592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 QUINCY LN",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048348",
"telephone_number": "518-260-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4573 STATE ROUTE 40",
"city": "ARGYLE",
"state": "NY",
"postal_code": "128093474",
"telephone_number": "518-638-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "KATELYN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026590-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Argyle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.