Active NPI
Noreen Santos, COTA/L
- Occupational Therapy Assistant
- Newburgh, NY
National Provider Identifier
1336722867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 010630
- Practice address
- 17 N Plank Rd Ste 10
Newburgh, NY 12550-2111 - Phone
- (845) 800-9305
- Fax
- (844) 800-1470
- NPI assigned
- May 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 010630 | NY | Primary |
| Occupational Therapy Assistant | 224Z00000X | 46TA09203200 | NJ |
Addresses
Primary practice location
17 N Plank Rd Ste 10
Newburgh, NY 12550-2111
Mailing address
2428 Pearsall Ave
Bronx, NY 10469-5430
Phone (646) 372-0315
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 |
|---|---|---|---|
| 010630 | NY | MD | Mental Health Counselor |
| 46TA09203200 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1336722867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 PEARSALL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695430",
"telephone_number": "646-372-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 N PLANK RD STE 10",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502111",
"telephone_number": "845-800-9305",
"fax_number": "844-800-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "NOREEN",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "010630",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09203200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.