Individual provider Active NPI

Linda Lee Frees, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Glenville, NY
National Provider Identifier
1164751681
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003047-1 Issued in NY
Practice address
19 Montclair Dr
Glenville, NY 12302-9741
Phone
(518) 384-2534
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003047-1 NY Primary

Addresses

Primary practice location

19 Montclair Dr
Glenville, NY 12302-9741

Mailing address

19 Montclair Dr
Glenville, NY 12302-9741
Phone (518) 384-2534

Other names 1

  • Miss Linda Lee Will Former name

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
003047-1NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1164751681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MONTCLAIR DR",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123029741",
            "telephone_number": "518-384-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MONTCLAIR DR",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123029741",
            "telephone_number": "518-384-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREES",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "003047-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "WILL",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "OCCUPATIONAL THERAPI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.