Joshua John Zenger, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005937 Issued in NY

Practice address

42 River St
Chateaugay, NY 12920-2002

Phone

(518) 497-6611

Fax

(518) 497-0601

NPI assigned

Oct 10, 2023

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chateaugay Central School

  • Local Education Agency (LEA)
  • Chateaugay, NY
  • NPI 1043376775
  NPD (past)

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1326829938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 904",
            "city": "CHATEAUGAY",
            "state": "NY",
            "postal_code": "129200904",
            "telephone_number": "518-497-6611",
            "fax_number": "518-497-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 RIVER ST",
            "city": "CHATEAUGAY",
            "state": "NY",
            "postal_code": "129202002",
            "telephone_number": "518-497-6611",
            "fax_number": "518-497-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENGER",
        "first_name": "JOSHUA",
        "middle_name": "JOHN",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Nicole Sprague
• Kaitlin Grace Tebo, M.S.ED, CCC-SLP
• Jessica Lynn Vanderwalker, MSOTR/L
• Lisa Whyte, PT ASSISTANT
• Nicole Woodward

• Occupational Therapy Assistant in Chateaugay, NY
• Providers in Chateaugay, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.