Guadalupe Puryear, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

016084 Issued in NY

Practice address

4242 80TH St
Apt. 2Y
Elmhurst, NY 11373-3064

Phone

(347) 247-7124

NPI assigned

May 19, 2010

Last updated

Dec 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1184943805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 80TH ST",
            "address_2": "APT. 2Y",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733064",
            "telephone_number": "347-247-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYEAR",
        "first_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RK33845N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• QC Optical LLC (Cohen's Fashion Optical)

• Occupational Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.