Active NPI
Robert Joel Sears, OTR L
- Occupational Therapist
- Glens Falls, NY
National Provider Identifier
1356563175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0630006217
- Practice address
- 37 Everts Ave
Glens Falls, NY 12804-2040 - Phone
- (518) 793-4700
- Fax
- (518) 743-1061
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 0630006217 | NY | Primary |
Addresses
Primary practice location
37 Everts Ave
Glens Falls, NY 12804-2040
Mailing address
5245 State Route 149
Granville, NY 12832-3009
Phone (518) 632-9150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231031002974 | NY | Practitioner - Occupational Therapist in Private Practice | 8820444532 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0630006217 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
305 Main St
Binghamton, NY 13905
Phone (607) 729-1295
200 Smith Dr
Corinth, NY 12822
Phone (518) 654-7680
500 Balltown Rd
Schenectady, NY 12304
Phone (518) 388-1950
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NY
-
- Developmental Disabilities Clinic/Center
- Binghamton, NY
- NPI 1316088941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356563175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5245 STATE ROUTE 149",
"city": "GRANVILLE",
"state": "NY",
"postal_code": "128323009",
"telephone_number": "518-632-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 EVERTS AVE",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128042040",
"telephone_number": "518-793-4700",
"fax_number": "518-743-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "ROBERT",
"middle_name": "JOEL",
"name_prefix": "Mr.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0630006217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.