Active NPI
Kathleen Ann Cobb, COTA/L
- Contractor
- Saugerties, NY
National Provider Identifier
1134497878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 005079
- Practice address
- 236 Blue Mountain Rd
Saugerties, NY 12477-3554 - Phone
- (845) 246-9471
- NPI assigned
- Dec 8, 2011
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 005079 | NY | Primary |
Addresses
Primary practice location
236 Blue Mountain Rd
Saugerties, NY 12477-3554
Mailing address
236 Blue Mountain Rd
Saugerties, NY 12477-3554
Phone (845) 246-9471
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005079 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1134497878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 BLUE MOUNTAIN RD",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124773554",
"telephone_number": "845-246-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 BLUE MOUNTAIN RD",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124773554",
"telephone_number": "845-246-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "005079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.