Kimberly Van Dyke

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

002427-1 Issued in NY

Practice address

81 Mohawk St
Cohoes, NY 12047-2809

Phone

(518) 235-2329

NPI assigned

Dec 9, 2011

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

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.

• Restore Occupational and Physical Therapy Speech Language

  • Contractor
  • Cohoes, NY
  • NPI 1679946586
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1346518008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "SPRINGFIELD CENTER",
            "state": "NY",
            "postal_code": "134680015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MOHAWK ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472809",
            "telephone_number": "518-235-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "002427-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transportation by Anderson Services LLC
• Tri-City Radiology,P.C.
• Cynthia Eagleton Tysiak, PT
• Universal Medical Equipment Inc
• Katrina Erika Vacarelli, LPN
• Vanguard Medical of Capital District PLLC
• Anatolina Vaysman, PHARMD
• Ivelisse Ann Verrico, MD
• Erika Vesely Visnevskaia
• Juan Nicholas Villarama Jr., MD

• Occupational Therapy Assistant in Cohoes, NY
• Providers in Cohoes, 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 Dec 9, 2011; 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.