Individual provider Active NPI

Lyndsey Nicole Keyser, COTA/L

  • Occupational Therapy Assistant
  • Bloomingburg, NY
National Provider Identifier
1134861628
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
011059 Issued in NY
Practice address
58 Mountain Rd
Bloomingburg, NY 12721-4302
Phone
(845) 741-8242
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 011059 NY Primary

Addresses

Primary practice location

58 Mountain Rd
Bloomingburg, NY 12721-4302

Mailing address

58 Mountain Rd
Bloomingburg, NY 12721-4302
Phone (845) 741-8242

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

LicenseStateTypeSpecialty
011059NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1134861628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MOUNTAIN RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214302",
            "telephone_number": "845-741-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MOUNTAIN RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214302",
            "telephone_number": "845-741-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "LYNDSEY",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.