Cathleen Chauncey-Gardner, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

002397-1 Issued in NY

Practice address

10 Fisher Ave
Mohawk, NY 13407-1537

Phone

(315) 866-4851

Fax

(315) 866-0055

NPI assigned

Feb 15, 2012

Last updated

Feb 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Central Valley Central School District

  • Local Education Agency (LEA)
  • Mohawk, NY
  • NPI 1417379264
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1346513827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 SHOEMAKER RD",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134074105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FISHER AVE",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071537",
            "telephone_number": "315-866-4851",
            "fax_number": "315-866-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUNCEY-GARDNER",
        "first_name": "CATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "002397-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "002397-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Aulisi, LCSW
• Kimberly Bello
• Susan Binney, LPN
• C.P. Rao, MD, PC
• Central Valley Central School District
• Heidi Katherina Chrisman
• Joseph Donald Conigliaro, OD
• Alexis Rose Fobare
• Alexa Franco
• Maria Hunt

• Occupational Therapy Assistant in Mohawk, NY
• Providers in Mohawk, 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 Feb 15, 2012; 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.