Active NPI
Ellyn Varela-Burstein, OTR
- Occupational Therapist
- Cold Spring, NY
National Provider Identifier
1124243324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 007997-1
- Practice address
- 142 Lane Gate Rd
Cold Spring, NY 10516-3530 - Phone
- (845) 265-5374
- Fax
- (845) 265-7664
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 007997-1 | NY | Primary |
Addresses
Primary practice location
142 Lane Gate Rd
Cold Spring, NY 10516-3530
Mailing address
142 Lane Gate Rd
Cold Spring, NY 10516-3530
Phone (845) 265-5374
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 |
|---|---|---|---|
| 007997-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse International | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- White Plains, NY
- NPI 1851346936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124243324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 LANE GATE RD",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "105163530",
"telephone_number": "845-265-5374",
"fax_number": "845-265-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 LANE GATE RD",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "105163530",
"telephone_number": "845-265-5374",
"fax_number": "845-265-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARELA-BURSTEIN",
"first_name": "ELLYN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "007997-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cold Spring, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.