Individual provider Active NPI

Barbara L Hasselbach, COTA

  • Occupational Therapy Assistant
  • Glenmont, NY
National Provider Identifier
1265737688
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
000583-1 Issued in NY
Practice address
43 Jefferson Rd
Glenmont, NY 12077-3305
Phone
(518) 439-5314
NPI assigned
Jan 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 000583-1 NY Primary

Addresses

Primary practice location

43 Jefferson Rd
Glenmont, NY 12077-3305

Mailing address

43 Jefferson Rd
Glenmont, NY 12077-3305
Phone (518) 439-5314

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
000583-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295049600000",
    "number": "1265737688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 JEFFERSON RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773305",
            "telephone_number": "518-439-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 JEFFERSON RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773305",
            "telephone_number": "518-439-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELBACH",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "000583-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.