Individual provider Active NPI

Ava K. Lamb-Freeman, C.O.T.A

  • Occupational Therapy Assistant
  • Cornwall on Hudson, NY
National Provider Identifier
1326498106
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
008760-1 Issued in NY
Practice address
314 Mountain Rd
Cornwall on Hudson, NY 12520-1839
Phone
(631) 835-1606
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 Therapy Assistant 224Z00000X 008760-1 NY Primary

Addresses

Primary practice location

314 Mountain Rd
Cornwall on Hudson, NY 12520-1839

Mailing address

314 Mountain Rd
Cornwall on Hudson, NY 12520-1839
Phone (631) 835-1606

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
008760-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1326498106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MOUNTAIN RD",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201839",
            "telephone_number": "631-835-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MOUNTAIN RD",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201839",
            "telephone_number": "631-835-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB-FREEMAN",
        "first_name": "AVA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008760-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall on Hudson, NY

Sources for this page

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