Dale A Coffin

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

006511 Issued in NY

Practice address

776 Grand Terrace Ave
North Baldwin, NY 11510-1421

Phone

(516) 637-2544

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• The Inspired OT PC

  • Rehabilitation Practitioner
  • North Baldwin, NY
  • NPI 1821750043
  NPD Authorized official

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1336393149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 GRAND TERRACE AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101421",
            "telephone_number": "516-637-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 GRAND TERRACE AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101421",
            "telephone_number": "516-637-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "DALE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NY",
            "license": "006511",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Clark
• Clinical Therapeutic Services of Long Island LCSW, PLLC
• Clinix Plus Pharmacy LLC
• Clinix Plus Pharmacy LLC
• CLJ Express Limo Service Inc
• Colin Behavioral Solutions LLC
• Emmanuela Collado-Gonzalez
• Caren Michelle Colonna
• Mary L Combs, RN
• Communication Allies Speech and Language Therapy

• Pediatric Occupational Therapist in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.