Organization Active NPI

Upstate OT

  • Clinic/Center
  • Glens Falls, NY
National Provider Identifier
1174354047
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Mrs. Emily Grace Cooke, OTR/LNPI 1760007900
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.