Individual provider Active NPI

Pauline Westcott, OTR/L

  • Occupational Therapist
  • Johnson City, NY
National Provider Identifier
1275081853
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006735-1 Issued in NY
Practice address
601 Columbia Dr
Johnson City, NY 13790-3302
Phone
(607) 763-1240
Fax
(607) 763-1252
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 006735-1 NY Primary

Addresses

Primary practice location

601 Columbia Dr
Johnson City, NY 13790-3302

Mailing address

3804 Struble Rd
Endwell, NY 13760-1144
Phone (607) 761-0472

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
006735-1NYMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1275081853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 STRUBLE RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137601144",
            "telephone_number": "607-761-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903302",
            "telephone_number": "607-763-1240",
            "fax_number": "607-763-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTCOTT",
        "first_name": "PAULINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006735-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.