Individual provider Active NPI

Leslie Elaine Bennett, MS, OTR-L, CKTP

  • Occupational Therapist
  • Cohoes, NY
National Provider Identifier
1366650129
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013411-1 Issued in NY
Practice address
421 Columbia St
Eddy Cohoes Rehabilitation Center
Cohoes, NY 12047-2217
Phone
(518) 238-4076
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 013411-1 NY Primary

Addresses

Primary practice location

421 Columbia St
Eddy Cohoes Rehabilitation Center
Cohoes, NY 12047-2217

Mailing address

5046A Doorstone Dr
Latham, NY 12110-3712
Phone (518) 608-5092

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
013411-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366650129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046A DOORSTONE DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103712",
            "telephone_number": "518-608-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COLUMBIA ST",
            "address_2": "EDDY COHOES REHABILITATION CENTER",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472217",
            "telephone_number": "518-238-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LESLIE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR-L, CKTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013411-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.