Active NPI
Noreen Ann Bernhardt, COTA
- Occupational Therapy Assistant
- Valley Cottage, NY
National Provider Identifier
1285871384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007062-1
- Practice address
- 612 Corporate Way
Suite 3M
Valley Cottage, NY 10989-2021 - Phone
- (845) 268-2323
- NPI assigned
- Jan 11, 2009
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 007062-1 | NY | Primary |
Addresses
Primary practice location
612 Corporate Way
Suite 3M
Valley Cottage, NY 10989-2021
Mailing address
87 Lower Reservoir Rd
Goshen, NY 10924-6609
Phone (845) 294-1662
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007062-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231632000000",
"number": "1285871384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 LOWER RESERVOIR RD",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246609",
"telephone_number": "845-294-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY",
"address_2": "SUITE 3M",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892021",
"telephone_number": "845-268-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNHARDT",
"first_name": "NOREEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-11",
"last_updated": "2009-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "007062-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.