Patrece Poremba, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

004651-1 Issued in NY

Practice address

110 Greywood CT
Kingston, NY 12401-7544

Phone

(845) 389-6400

NPI assigned

Jan 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Patrece Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1205258571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GREYWOOD CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124017544",
            "telephone_number": "845-389-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GREYWOOD CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124017544",
            "telephone_number": "845-389-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POREMBA",
        "first_name": "PATRECE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "004651-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRECE",
            "last_name": "WILLIAMS",
            "prefix": "MISS",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Kasofsky Pitt, OTR/L
• Laura Elise Pittelman, RN
• Planned Parenthood of the Mid Hudson Valley
• Jennifer Plumley
• Joy Pollock, LMSW
• Audrey Grace Pottinger, R.N.
• Nancy Potts, LMHC
• Geordarna Poulten
• Danielle Powell, LCSW
• Doris D Preslar Leveque, FNP

• Occupational Therapy Assistant in Kingston, NY
• Providers in Kingston, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.