Colleen Mary-Glyniss Lawrence, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

012990 Issued in NY

Practice address

462 1St Ave # a-560
New York, NY 10016-9196

Phone

(212) 562-2300

Fax

(212) 562-3486

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1124187182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ROUTE 17M",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245241",
            "telephone_number": "845-458-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE # A-560",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-2300",
            "fax_number": "212-562-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Liberty Resources",
            "address_2": "2001 Rt 17M",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "10924",
            "country_code": "US",
            "telephone_number": "845-458-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "COLLEEN",
        "middle_name": "MARY-GLYNISS",
        "name_prefix": "Ms.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks Lawrence, MS, CCC-SLP
• Carli Needle Lawrence
• Carlton Lawrence, MD (CONFERRED 05/21)
• Cassidy Rae Lawrence, PHARMD
• Cecelia Lawrence, PT
• D'Naja Monique Lawrence
• Dana Lawrence, PT
• Deborah M'Liss Lawrence, PHD
• Debra Lynn Lawrence, PHD
• Eleanor Storer Lawrence, L.AC, MSTOM

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.