Active NPI
Faith Colaneri, CTRS
- Recreation Therapist
- Bath, NY
National Provider Identifier
1164198651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 82896
- Practice address
- 76 Veterans Ave
Bath, NY 14810-0810 - Phone
- (607) 664-4449
- NPI assigned
- Aug 17, 2021
- Last updated
- Dec 5, 2023
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 82896 | NY | Primary |
Addresses
Primary practice location
76 Veterans Ave
Bath, NY 14810-0810
Mailing address
92 State Route 245 Apt a
Rushville, NY 14544-9603
Phone (315) 263-3791
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 |
|---|---|---|---|
| 82896 | NY | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1164198651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 STATE ROUTE 245 APT A",
"city": "RUSHVILLE",
"state": "NY",
"postal_code": "145449603",
"telephone_number": "315-263-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 VETERANS AVE",
"city": "BATH",
"state": "NY",
"postal_code": "148100810",
"telephone_number": "607-664-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANERI",
"first_name": "FAITH",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "82896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.