Active NPI
Judith Ann Pedley, OT
- Occupational Therapist
- Saint James, NY
National Provider Identifier
1346664323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008190-1
- Practice address
- 10 Lancelot Court
Saint James, NY 11780 - Phone
- (516) 353-0348
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008190-1 | NY | Primary |
Addresses
Primary practice location
10 Lancelot Court
Saint James, NY 11780
Mailing address
10 Lancelot Court
Saint James, NY 11780
Phone (516) 353-0348
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 |
|---|---|---|---|
| 008190-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1346664323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LANCELOT COURT",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "11780",
"telephone_number": "516-353-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LANCELOT COURT",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "11780",
"telephone_number": "516-353-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDLEY",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008190-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint James, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.