Individual provider Active NPI

Joan Stephanie Atkins, O.T.R.

  • Occupational Therapist
  • Westerlo, NY
National Provider Identifier
1265718266
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002840-1 Issued in NY
Practice address
327 Woodstock Rd
Westerlo, NY 12193-1710
Phone
(518) 872-1629
NPI assigned
Oct 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002840-1 NY Primary
Pediatric Occupational Therapist 225XP0200X 002840-1 NY

Addresses

Primary practice location

327 Woodstock Rd
Westerlo, NY 12193-1710

Mailing address

327 Woodstock Rd
Westerlo, NY 12193-1710
Phone (518) 872-1629

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

LicenseStateTypeSpecialty
002840-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1265718266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 WOODSTOCK RD",
            "city": "WESTERLO",
            "state": "NY",
            "postal_code": "121931710",
            "telephone_number": "518-872-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 WOODSTOCK RD",
            "city": "WESTERLO",
            "state": "NY",
            "postal_code": "121931710",
            "telephone_number": "518-872-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "JOAN",
        "middle_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002840-1",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "002840-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerlo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.