Active NPI
Julia House, OTR/L
- Occupational Therapist
- Oswego, NY
National Provider Identifier
1205223641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019467-1
- Practice address
- 159 W 1St St
Oswego, NY 13126-2045 - Phone
- (315) 342-9575
- Fax
- (315) 342-7664
- NPI assigned
- Apr 23, 2015
- 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 | 019467-1 | NY | Primary |
Addresses
Primary practice location
159 W 1St St
Oswego, NY 13126-2045
Mailing address
49 Maple St
Geneva, NY 14456-1524
Phone (315) 521-2209
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 |
|---|---|---|---|
| 019467 | NY | MD | Physical Therapist |
| 019467-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Rehab LLC | Occupational Therapist | Current | Accepting new patients |
Locations
54 State St
Ste 804
Albany, NY 12207
Phone (347) 581-2357
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1205223641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 MAPLE ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561524",
"telephone_number": "315-521-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262045",
"telephone_number": "315-342-9575",
"fax_number": "315-342-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "JULIA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019467-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.