Active NPI
Brooke Nicolle Duffy, OTR/L
- Occupational Therapist
- Walden, NY
National Provider Identifier
1194226399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022264
- Practice address
- 26 Riverview St
Walden, NY 12586-1914 - Phone
- (845) 926-2081
- NPI assigned
- Feb 22, 2018
- 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 | 022264 | NY | Primary |
Addresses
Primary practice location
26 Riverview St
Walden, NY 12586-1914
Mailing address
26 Riverview St
Walden, NY 12586-1914
Phone (845) 926-2081
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022264 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1194226399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 RIVERVIEW ST",
"city": "WALDEN",
"state": "NY",
"postal_code": "125861914",
"telephone_number": "845-926-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 RIVERVIEW ST",
"city": "WALDEN",
"state": "NY",
"postal_code": "125861914",
"telephone_number": "845-926-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "BROOKE",
"middle_name": "NICOLLE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.