Active NPI
Pamela Ann Collishaw, OT
- Occupational Therapist
- Poughkeepsie, NY
National Provider Identifier
1144507955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001888-1
- Practice address
- 15 Croft Rd
Poughkeepsie, NY 12603-4917 - Phone
- (845) 463-7808
- NPI assigned
- Nov 8, 2011
- Last updated
- Nov 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001888-1 | NY | Primary |
Addresses
Primary practice location
15 Croft Rd
Poughkeepsie, NY 12603-4917
Mailing address
59 Addison Rd
Fishkill, NY 12524-1419
Phone (845) 897-3825
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 |
|---|---|---|---|
| 001888-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spackenkill Ufsd | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Poughkeepsie, NY
- NPI 1932255445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1144507955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 ADDISON RD",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241419",
"telephone_number": "845-897-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CROFT RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126034917",
"telephone_number": "845-463-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLISHAW",
"first_name": "PAMELA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "001888-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
- Lauren Colasurdo, MD
- Mark J Coleman
- Lynne M Colley, RN
- Gary Michael Collins, PH.D.
- Susan Eckert Collins, M.D.
- William Colman, MD
- Mia Ivette Colon, PHYSICIAN ASSISTANT
- Gina Cassidy Comfort, LCSWR, CASAC
- Comforting Hands Home Health Agency Incorporated (Comforting Hands Home Health Agency)
- Catherine A Comins, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.