Active NPI
Cheryl J Garrant, OTR/L
- Occupational Therapist
- Ballston Spa, NY
National Provider Identifier
1184724031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010040-1
- Practice address
- 100 Kayaderosseras Dr
Ballston Spa, NY 12020-2528 - Phone
- (518) 885-1912
- NPI assigned
- Sep 22, 2006
- 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 | 010040-1 | NY | Primary |
Addresses
Primary practice location
100 Kayaderosseras Dr
Ballston Spa, NY 12020-2528
Mailing address
100 Kayaderosseras Dr
Ballston Spa, NY 12020-2528
Phone (518) 885-1912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00752456 | Medicaid | NY |
Other names 1
- Miss Cheryl L Johnson
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 |
|---|---|---|---|
| 010040-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1184724031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KAYADEROSSERAS DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202528",
"telephone_number": "518-885-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KAYADEROSSERAS DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202528",
"telephone_number": "518-885-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRANT",
"first_name": "CHERYL",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "010040-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00752456",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "JOHNSON",
"middle_name": "L",
"prefix": "MISS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.