Individual provider Active NPI

Penny L Rutledge-Cuatt, COTA

  • Contractor
  • Lagrangeville, NY
National Provider Identifier
1346523982
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
004467-2 Issued in NY
Practice address
144 Todd Hill Rd
Lagrangeville, NY 12540-5916
Phone
(845) 486-4494
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 004467-2 NY Primary

Addresses

Primary practice location

144 Todd Hill Rd
Lagrangeville, NY 12540-5916

Mailing address

188 Van Wyck Lake Rd
Fishkill, NY 12524-2965
Phone (845) 440-7387

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

LicenseStateTypeSpecialty
004467-2NYMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1346523982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 VAN WYCK LAKE RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242965",
            "telephone_number": "845-440-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 TODD HILL RD",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405916",
            "telephone_number": "845-486-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE-CUATT",
        "first_name": "PENNY",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "004467-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.