Active NPI
Upstate OT
- Clinic/Center
- Glens Falls, NY
National Provider Identifier
1174354047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- UPSTATE OT
- Practice address
- 92 Broad St
Glens Falls, NY 12801-4489 - Phone
- (518) 791-7469
- NPI assigned
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Emily Grace Cooke, OTR/L
- Title
- Occupational Therapist
- Phone
- (518) 791-7469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
92 Broad St
Glens Falls, NY 12801-4489
Mailing address
12 Knight St
Glens Falls, NY 12801-4655
Phone (518) 791-7469
National Provider Directory
National Provider DirectoryLocations
92 Broad St
Glens Falls, NY 12801
Phone (518) 480-4002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Queensbury, NY
- NPI 1760007900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1174354047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 KNIGHT ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014655",
"telephone_number": "518-791-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BROAD ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014489",
"telephone_number": "518-791-7469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSTATE OT",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "COOKE",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "518-791-7469",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.